Raux M, Dupont M, Devys J-M
Département d'anesthésie-réanimation et urgences, fondation ophtalmologique Adolphe-de-Rothschild, Paris, France.
Ann Fr Anesth Reanim. 2007 Sep;26(9):805-9. doi: 10.1016/j.annfar.2007.03.036. Epub 2007 Jul 16.
Compulsory professional practice evaluation will require holding frequent morbidity mortality staffs. Those staffs must follow strict methodology. We report successive steps of systemic analysis according to ALARM process of two successive non lethal anaesthetic incidents. Such analysis helped identifying care management problems and their systemic causes. Thus it leaded to corrective measures in order to prevent such events recurrence. Moreover, it allowed systemic defaults correction that prevent future other accidents.
强制性专业实践评估将要求定期举行发病率死亡率会议。这些工作人员必须遵循严格的方法。我们报告了根据两起连续的非致命麻醉事件的ALARM流程进行系统分析的连续步骤。这种分析有助于识别护理管理问题及其系统原因。因此，它导致了纠正措施，以防止此类事件再次发生。此外，它还允许纠正系统缺陷，以防止未来发生其他事故。
