2013, Number 2
<< Back Next >>
Revista Cubana de Anestesiología y Reanimación 2013; 12 (2)
Anesthesia and patient safety. An urgent call…
Cordero EI, Sainz CH, Santos PMA, Rojas SO
Language: Spanish
References: 28
Page: 151-157
PDF size: 48.11 Kb.
ABSTRACT
Background: the development of Anesthesiology changed significantly in the last decades, mainly because of the change of vision and mission of the specialty. It does not mean to sleep and wake the patient up as in the 50´s during the last Century. Today, it is about the caring for the integrity of a human being that gives his life and this implies ensuring hypnosis, analgesia, neuromuscular block, hemodynamic and neurovegetative control and pain prevention. It is a far-reaching specialty.
Objective: to perform an update of the possible causes of medical errors in the prevention of anesthetic complications Development: health commissioners are increasingly aware of the problems that are inherent in the patients' safety during a surgical procedure. Many initiatives have been created such as the called "Checklist" or WHO surgical checklist. There are different risk sources in the operating room which are grouped in the following categories: electrocution, skin burns, asphyxia, barotraumas, overdose, embolism, fire and lethargy, just to mention some of them. During anesthesia, the majority of errors in drug administration are totally or partially attributed to human error which is an inherent part in human psychology and activity; hence, the occurrence of errors can only be reduced, not eliminated.
Conclusions: it is imperative to propose objective elements that relate safe anesthetic procedures; similarly, it is intended to achieve a safe surgical procedure in an ideal ambient and a safe transfusion in which all of us are imbued with the same purpose: to ensure the integrity and safety of a patient under anesthesia.
REFERENCES
Martínez J C. Alianza mundial para la seguridad del paciente. Campaña “Cirugía Segura Salva Vidas”. Simposio Seguridad 2012. RAA 2012; 70(1):15-20.
Top 10 Technology Hazards for 2012. ECRI Institute. 2011. En línea: Consultado: Julio 2012. URL disponible en: http://www.ecri.org/2012_top_10_hazards
Haynes AB, Weiser TG, Berry WR, y col. A surgical safety checklist to reduce morbidity and mortality in a global population. NEJM 2009;360: 491-9
Ziewacz JE, Arriaga AF, Bader AM. Crisis checklist for the operating room: development and pilot testing. J Am Coll Surg 2011; 213: 212-9.
Wright MC, Phillips-Bute B, Mark JB, et al. Time of day effects on the incidence of anesthetic adverse events. Qual Saf Health Care 2006;15:258-263.
Whizar Lugo V. Prevención en Anestesiología. Anestesia en México 2009;21(2):118-138.
Scafati A. Riesgo perioperatorio y morbimortalidad. Simposio Seguridad 2012. RAA 2012; 70(1): 7-14.
Dripps RD, Lamont A, Eckenhoff JE. The role of anesthesia in surgical mortality. JAMA 1961; 178: 26-36.
Tiret L, Desmonts JM, Hatton F, Vourch G. Complications associated with anaesthesia: A prospective survey in France. Can Anaesth Soc J 1986; 33: 336-44.
Arbous MS, Grobbee DE, van Kleef JW. Mortality associated with anaesthesia: A qualitative analysis to identify risk factors. Anaesthesia 2001; 56: 1141-53.
Gibbs N, Borton C. Safety of Anaesthesia in Australia: A Review of Anaesthesia Related Mortality, 2000-2002. Report of the Committee convened under the auspices of the Australian and New Zealand. College of Anaesthetists Melbourne, Australian and New Zealand College of Anaesthetists, 2006.
Lienhart A, Auroy Y, Péquignot F. Survey of anesthesia-related mortality in France. Anesthesiology 2006; 105: 1087-97.
Li G, Warner M, Lang BH. Epidemiology of anesthesiarelated mortality in the United States 19992005. Anesthesiology 2009; 110: 759-65
Cooper JB. Towards patient safety in anaesthesia. Ann Acad Med Singapore1994; 23(4):552-7.
Van M Beuzekom, Boer M, S Akerboom, Hudson P. Patient safety: latent risk factors. Br J Anaesth 2010; 105 (1) :52-9.
Cohen SP, Hayek SM, Datta S, Bajwa ZH, Larkin S, Griffith TM et al. Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. Anestesiology 2010;112 (3):711-8.
Graham J, Hocking G, Giles E. Anaesthesia non-technical skills: Can anaesthetists be trained to reliably use this behavioural marker system in 1 day?. Br J Anaesth 2010;104 (4) :440-5.
The Royal College of Surgeons of England. Patient safety. 2009. En línea. Consultado: Julio 5, 2012. URL disponible en: http://www.rcseng.ac.uk/publications/docs
Ahmed M, Sonal A, Carley S, Sevdalis N, Neale G. Junior doctors' reflections on patient safety. Postgrad Med J 2012;88:12-129.
House of Commons Health Comitee. Patient Safety. Sixth Report. Volume I. Londres. 2009. pp. 3-17.
Paladino M A. Accidentes, incidentes y complicaciones intraoperatorias. Rev Arg Anest 2003; 61(2): 115-130
de Corteza E, Gentile L. Seguridad del paciente en el quirófano: relación con las Tecnologías Biomédicas e Instalaciones. Simposio Seguridad 2012. RAA 2012; 70(1): 137-140.
Warner MA: Perioperative Mortality. Intraoperative Anesthetic Management Matters. (Editorial) Anesthesiology 2005; 102: 251-2.
Arbous MA, Meursing AEE, van Kleef JW. Impact of Aneshesia Management Characteristics on Severe Morbidity and Mortality. Anesthesiology 2005; 102: 25768.
Euroanesthesia 2010. Capacitación en Seguridad del Paciente y Gestión del Riesgo España. Rev Española Anest Rean 2010;27(7):592-7.
Lolas S F, Quezada S A. Pautas éticas de investigación en sujetos humanos: Nuevas perspectivas. Editorial Bioética. Santiago de Chile. 2033. pp. 15-35.
Cosinelli F, Ariño JJ, Ruba BA, de la Pinta JC, de la Quintana FB, Espinosa ME et al. Directrices de procedimientos comprobación y validación (chequeo) previos a la anestesia de la Sociedad Española de Anestesiología. En línea. Consultado: mayo 23, 2012. URL disponible: http://www.elsevier.es/revista/2007/pr22/es/index.html
Hill CD. La OMS lanza "Nueve soluciones para la seguridad del paciente" a fin de salvar vidas y evitar daños. En línea. Consultado: mayo 23, 2012. URL disponible: http://www.who.int/mediacentre/news/releases/2007/pr22/es/index.html.