Standards for patient monitoring during anesthesia at Harvard Medical School.

Standards for patient monitoring during anesthesia at Harvard Medical School.
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哈佛医学院麻醉期间患者监护标准。

DOI:
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发表时间:
1986
期刊:
Journal of the American Medical Association (JAMA)
影响因子:
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通讯作者:
R. Seeman
R. Seeman
中科院分区:
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文献类型:
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作者:
J. Eichhorn;J. Cooper;D. Cullen;W. R. Maier;J. Philip;R. Seeman

文献摘要

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作为一项重大的患者安全/风险管理努力的一部分,波士顿哈佛医学院麻醉系为其九家教学医院的麻醉期间最低限度的患者监测制定了具体、详细、强制性的标准。这样的标准以前是不存在的,人们预料到了对这一概念的抵制,但没有看到。从技术上讲,这些标准在所有环境中都是可以实现的,而且在努力和成本方面都是负担得起的。及早发现麻醉过程中的不良趋势或事件将有助于预防或减轻患者的伤害;这反过来也可能有助于遏制与麻醉相关的医疗事故诉讼、和解、判决和保险费的爆炸性增长。委员会程序适用于颁布所有医学专科和任何有组织的医疗从业者群体的业务标准。
As part of a major patient safety/risk management effort, the Department of Anaesthesia of Harvard Medical School, Boston, has devised specific, detailed, mandatory standards for minimal patient monitoring during anesthesia at its nine component teaching hospitals. Such standards have not previously existed, and resistance to the concept was anticipated but not seen. The standards are technically achievable in all settings and affordable in terms of effort and cost. Early detection of untoward trends or events during anesthesia will result in prevention or mitigation of patient injury; this, in turn, may also help counter the explosive increases in anesthesia-related malpractice actions, settlements, judgments, and insurance premiums. The committee process used is applicable to the promulgation of standards of practice for all medical specialties and any organized group of medical practitioners.