Shapiro Fred E, Jani Samir R, Liu Xiaoxia, Dutton Richard P, Urman Richard D
Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215, USA.
Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
Anesthesiol Clin. 2014 Jun;32(2):431-44. doi: 10.1016/j.anclin.2014.02.018.
Safe office-based anesthesia practices dictate proper patient and procedure selection, appropriate provider qualifications, adequately equipped facilities, and effective administrative infrastructure. Analysis of patient outcomes can help reduce mortality and morbidity by identifying high-risk patients and procedures. We analyzed data from the Anesthesia Quality Institute National Anesthesia Clinical Outcomes Registry. Analysis included patient demographics and outcomes, procedure and anesthesia type and duration, and case coverage by provider. Increased regulation and standardization of care, such as the use of checklists and professional guidelines, can advance safe practices. There is increasing emphasis on continuous quality improvement, electronic health records, and outcomes data reporting.
安全的门诊麻醉操作要求进行恰当的患者和手术选择、具备合适资质的医护人员、配备充分的设施以及有效的管理基础设施。对患者预后进行分析，有助于通过识别高危患者和手术来降低死亡率和发病率。我们分析了麻醉质量研究所国家麻醉临床结局登记处的数据。分析内容包括患者人口统计学特征和预后、手术及麻醉类型和时长，以及医护人员的病例覆盖情况。加强护理的监管和标准化，如使用检查表和专业指南，可推动安全操作。人们越来越重视持续质量改进、电子健康记录和结局数据报告。
