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一个持续改进的全球化质量改进过程:2010 年国际麻醉安全标准。

An iterative process of global quality improvement: the International Standards for a Safe Practice of Anesthesia 2010.

机构信息

Department of Anaesthesiology, University of Auckland, Auckland 1142, New Zealand.

出版信息

Can J Anaesth. 2010 Nov;57(11):1021-6. doi: 10.1007/s12630-010-9380-7. Epub 2010 Sep 21.

DOI:10.1007/s12630-010-9380-7
PMID:20857255
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2957571/
Abstract

PURPOSE

To enhance patient safety through contemporaneous and comprehensive standards for a safe practice of anesthesia that augment, enhance, and support similar standards already published by various countries and that provide a resource for countries that have yet to formulate such standards.

STANDARDS DEVELOPMENT

The Safe Anesthesia Working Group of the World Health Organization's "Safe Surgery Saves Lives" global initiative updated the 1992 International Standards for the Safe Practice of Anaesthesia (Standards) through an iterative process of literature review, consultation, debate, drafting, and refinement. These Standards address, in detail, the organization, support, practices, and infrastructure for anesthesia care. The Standards are grounded in the fundamental principle of safety in anesthesia, i.e., the continuous presence of an appropriately trained, vigilant anesthesia professional. In effect, the use of pulse oximetry during anesthesia is now considered mandatory, with acknowledgement that compromise may be unavoidable in emergencies. At the World Congress of Anaesthesiologists in 2008, drafts were presented for comment, further refinements were made, and the Revised Standards were adopted by the World Federation of Societies of Anaesthesiologists (WFSA). These Revised Standards were posted on the WFSA website for further feedback, and minor revisions followed. The International Standards for a Safe Practice of Anesthesia 2010 were endorsed by the Executive Committee of the WFSA in March 2010. Ongoing periodic revision is planned.

CONCLUSION

While they are universally applicable, the 2010 Standards primarily target lesser-resourced areas. They are designed particularly for regions that have yet to formulate or adopt their own standards so as to promote optimum patient outcomes in every anesthetizing location in the world.

摘要

目的

通过同时制定全面的安全麻醉实践标准来增强患者安全,这些标准增强、加强并支持各国已经发布的类似标准,并为尚未制定此类标准的国家提供资源。

标准制定

世界卫生组织“安全手术拯救生命”全球倡议的安全麻醉工作组通过文献回顾、咨询、辩论、起草和完善的迭代过程更新了 1992 年《安全麻醉实践国际标准》(标准)。这些标准详细涉及麻醉护理的组织、支持、实践和基础设施。标准基于麻醉安全的基本原则,即持续存在经过适当培训、警惕的麻醉专业人员。实际上,现在认为在麻醉期间使用脉搏血氧仪是强制性的,同时承认在紧急情况下可能无法避免妥协。在 2008 年世界麻醉师大会上,提交了草案供评论,进一步进行了完善,并由世界麻醉师学会联合会(WFSA)通过了修订标准。修订标准发布在 WFSA 网站上以征求进一步反馈意见,并进行了小的修订。2010 年国际安全麻醉实践标准于 2010 年 3 月得到 WFSA 执行委员会的认可。计划进行定期修订。

结论

虽然这些标准普遍适用,但 2010 年标准主要针对资源较少的地区。它们特别针对尚未制定或采用自己标准的地区,旨在促进世界上每个麻醉地点的最佳患者结果。

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