Baker Robert A, Bronson Shahna L, Dickinson Timothy A, Fitzgerald David C, Likosky Donald S, Mellas Nicholas B, Shann Kenneth G
Cardiac Surgery Research and Perfusion, Flinders Medical Centre and Flinders University, Adelaide, South Australia.
J Extra Corpor Technol. 2013 Sep;45(3):156-66.
One of the roles of a professional society is to develop standards and guidelines of practice as an instrument to guide safe and effective patient care. The American Society of Extracorporeal Technology (AmSECT) first published its Essentials for Perfusion Practice, Clinical Function: Conduct of Extracorporeal Circulation in 1993. The International Consortium for Evidence-Based Perfusion (ICEBP), a committee within AmSECT, was tasked with updating this document in 2010. The aim of this report is to describe the method of development and content of AmSECT's new professional standards and guidelines. The ICEBP committee independently evaluated and provided input regarding the current "Essentials and Guidelines." Structural changes were made to the entire document, and a draft document was developed, presented, and circulated to the AmSECT Board of Directors and broader membership for comment. Informed by these reviews, a revised document was then presented to the Society for a membership vote. The final document consists of 15 areas of practice covered by 50 Standards and 38 Guidelines (see Appendix 1) with the first standard focusing on the development of institutional protocols to support their implementation and use. A majority of the membership voted to accept the document (81.2% of the voting membership accepting, 18.8% rejecting). After an audit of the balloting process by AmSECT's Ethics Committee, the results were reported to the membership and the document was officially adopted on July 24, 2013. The Standards and Guidelines will serve as a useful guide for cardiac surgical teams that wish to develop institution-specific standards and guidelines to improve the reliability, safety, and effectiveness of adult cardiopulmonary bypass. The ICEBP recognizes that the development of a Standards and Guidelines statement alone will not change care. Safe, reliable, and effective care will be best served through the development and implementation of institutional protocols based on these standards. AmSECT's Standards and Guidelines for Perfusion Practice reflect the changing landscape of our profession as we work toward a safer and optimal provision of cardiopulmonary bypass for all our patients as well as a work environment that is supportive of delivering this care.
standards, guidelines, cardiopulmonary bypass, perfusion, cardiac surgery.
专业协会的作用之一是制定实践标准和指南，作为指导安全有效的患者护理的工具。美国体外技术协会（AmSECT）于1993年首次发布了《灌注实践要点，临床功能：体外循环的实施》。国际循证灌注联盟（ICEBP）是AmSECT内部的一个委员会，于2010年负责更新该文件。本报告的目的是描述AmSECT新专业标准和指南的制定方法及内容。ICEBP委员会独立评估并就当前的“要点和指南”提供意见。对整个文件进行了结构调整，并制定了一份文件草案，提交并分发给AmSECT董事会及更广泛的会员征求意见。根据这些审查意见，随后向协会提交了一份修订文件供会员投票。最终文件包括15个实践领域，涵盖50项标准和38项指南（见附录1），第一项标准侧重于制定机构规程以支持其实施和使用。大多数会员投票接受该文件（81.2%的投票会员接受，18.8%拒绝）。在AmSECT伦理委员会对投票过程进行审核后，结果报告给会员，该文件于2013年7月24日正式通过。这些标准和指南将为希望制定特定机构标准和指南以提高成人体外循环可靠性、安全性和有效性的心脏手术团队提供有用指导。ICEBP认识到仅制定标准和指南声明不会改变护理情况。通过制定和实施基于这些标准的机构规程，才能最好地实现安全、可靠和有效的护理。AmSECT的灌注实践标准和指南反映了我们专业领域不断变化的情况，我们致力于为所有患者更安全、更优化地提供体外循环，以及营造一个支持提供这种护理的工作环境。
标准；指南；体外循环；灌注；心脏手术
