在独立的门诊外科中心,麻醉相关的已关闭索赔
Marc Philip T Pimentel1, Scott Chung1, Jacqueline M Ross2
1From the Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Anesthesia and analgesia
|April 19, 2024
概括
门诊手术中心 (ASC) 的严重麻醉索赔比医院手术室 (HOR) 少,但烧伤和通信问题更频繁. 改善ASC的安全文化和提供者培训对于患者安全至关重要.
科学领域:
- 麻醉学 麻醉学
- 患者安全 患者安全
- 医疗不当行为 医疗不当行为
背景情况:
- 在门诊外科中心 (ASC) 增加手术的敏度.
- 与医院手术室 (HOR) 相比,ASC中患者安全问题越来越严重.
研究的目的:
- 在独立的ASC与HOR中分析麻醉相关的责任索赔.
- 确定特定于ASC设置的患者安全风险.
主要方法:
- 关闭麻醉责任索赔 (2015-2022) 的描述性分析.
- 212个ASC索赔与268个HOR索赔的比较.
- 评估伤害严重程度,指控,促成因素和财务结果.
主要成果:
- 伤害严重程度较高的ASC索赔较少发生 (22%对34%).
- 在ASC中,烧伤更常见 (6%对2%),而定位损伤较少 (3%对8%).
- 在这两种情况下,技术性能是关键因素;在ASC中,通信问题更高 (20%对10%).
结论:
- ASC可能面临更高的患者和程序复杂性,需要加强安全措施.
- 建议包括改善安全文化,沟通,并确保ASC的最新提供者培训.
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
79
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
79
Local Anesthetics: Clinical Application as Epidural Anesthesia
430
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
430
General Anesthesia: Overview
215
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
215
Local Anesthetics: Clinical Application as Spinal Anesthesia
623
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
623
Stages of General Anesthesia
426
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
426
Standards of Care I
677
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
677


