A Three-Decade Perspective on Anesthesia Safety
A Three-Decade Perspective on Anesthesia Safety
复制标题
麻醉安全的三个十年的展望
DOI：
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发表时间：
2006
期刊：
影响因子：
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通讯作者：
W. Lanier
中科院分区：
文献类型：
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作者：
W. Lanier
现代医疗实践，特别是医院环境中的实践，一直受到严格的审查，试图改善患者的安全和优化结果。麻醉学被认为是取得进步的最成功的专业之一。根据医学研究所1999年的报告，犯错是人之常情，“…麻醉学已经成功地将麻醉死亡率从每10,000种麻醉剂中有2例死亡，降低到每200,000到300,000种麻醉剂中有1例死亡。“本报告回顾了30年来在提高麻醉学安全性方面取得的代表性进展，并对过去和未来取得成功的关键因素进行了推测性的综合。确定的七个要点包括1)冠军及其盟友的出现，2)识别和量化影响广泛的问题的初步努力，3)解决与从业者相关的智力上的“有趣”问题的研究，4)接触在问题预防和问题解决方面有重点的专业知识的其他人，5)与其他专业分担质量和安全改进的责任，6)扩大麻醉界的接受和参与，以及7)为未来做准备。这些因素不仅为麻醉师的成功提供了记录，也为其他希望效仿麻醉师经验的群体和专业提供了路线图。
Modern medical practice, and particularly that within the hospital environment, has been under intense scrutiny in an attempt to improve patient safety and optimize outcomes. Anesthesiology has been cited as among the most successful specialties effecting improvements. According to the Institute of Medicine's 1999 report, To Err is Human, “… anesthesiology has successfully reduced anesthesia mortality rates from two deaths per 10,000 anesthetics administered, to one death per 200,000 to 300,000 anesthetics administered.” The current report reviews representative highlights from 30 years of progress in improving anesthesiology safety and offers a speculative synthesis of the factors critical to past and future successes. The seven identified points include 1) the emergence of a champion and his allies, 2) initial efforts to identify and quantify broad-reaching problems, 3) research addressing intellectually “amusing” problems of relevance to practitioners, 4) reaching out to others with focused expertise in problem prevention and problem solving, 5) sharing the responsibility for quality and safety improvement with other specialties, 6) expanding buy-in and participation within the anesthesia community, and 7) preparing for the future. The factors provide not only an accounting of anesthesiologists’ successes, but also a road map for other groups and specialties desiring to emulate the anesthesiologists’ experience.
影响因子：
6.7
作者：
Hynson, J M;Sessler, D I
通讯作者：
Sessler, D I
影响因子：
158.5
作者：
Kurz, A;Sessler, DI;Lenhardt, R
通讯作者：
Lenhardt, R