Anesthesia Patient Safety Strategies
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Patient safety in anesthesia
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Anesthesia Patient Safety Strategies
- 2. Anesthesia has the potential to induce physiological changes that may lead to morbidity and mortality. As a result, it is commonly regarded as a high-risk activity. So we should find out factors threatening patient safety in the operation room and search for strategies to deal with them.
- 3. •Causes: Design flaw, User error or Malfunction •Strategies: pre-use checkout Equipment •Causes: Underlying diseases or Allergic reaction •Strategies: Preoperative evaluations Patient •Causes: Human factors affecting performance •Strategies: Improve human reliability Anesthetist and Surgeon Accidents in healthcare system have always multi- factorial causes. System failure is the main reason for accidents. Human error is a strong contributor o Deviation from policies & guidelines o Lapse in vigilance
- 5. Anesthesia Plan Preoperative patient assessment Check machines & monitors PREOPERATIVE PLAN Prepare efficient workspace Label all medications Check backup equipment
- 6. SITUATIONAL AWARENESS Rapid reassessment in case of any abnormal vital sign Use systematic approach for scanning
- 7. • Cross-check observations • Compensatory responses: time-buying measure then treat • In critical crises: call for help then use emergency protocols • Teamwork communication & delegation • Stress reduction & work environment optimization • Production pressure avoidance: patient safety must be the priority • Learning culture: any error is an opportunity to improve
- 8. Our goal is improvement the quality of care & minimizing the risk of injuries from anesthesia. 1) Documentation: Any adverse event should be reported truthfully to be analyzed and apply strategies to prevent its reoccurrence.
- 9. 2)Standards and guidelines: Anesthetists should be aware of the hospital’s policies & procedures concerning of patient safety. e.g., adverse event reporting, hand-off checklists, resuscitation protocols& preoperative testing
- 10. 3) Safety training: The best way to learn critical- event management skills is using simulator. After training on simulator repeatedly, when crisis happens, you can manage it efficiently.
- 11. Qualified anesthetist shall be present in the room throughout the course of anesthesia care. Continually evaluate the patient's respiration ,circulation and temperature.
- 12. All of information should be clearly presented: o Perioperative Management The patient's diagnosis, surgery, allergies, past medical and surgical history, relevant medications, and any pertinent normal or abnormal laboratory values o Intraoperative Management Status of surgery, airway assessment and management techniques, anesthetic plan and current status, current vital signs with an explanation for any apparent abnormalities or trends, intravenous access and monitoring, blood loss and volume status assessment, anticipated need for additional medications
- 14. Provide continuous patient care Notify the anesthesia operating room administrator& Contact consultant as needed Document events in the patient record (including the serial number of the anesthesia machine) Not discard supplies or tamper with equipment. Submit a follow- up report to TQM department Document continuing care in the patient's record