Göransson Katarina, Lundberg Johan, Ljungqvist Olle, Ohlsson Elisabet, Sandblom Gabriel
Department of Intensive Care and Perioperative Medicine - Skåne University Hospital Lund, Sweden Department of Intensive Care and Perioperative Medicine - Skåne University Hospital Lund, Sweden.
Skane University Hospital - Dept of Intensive Care and Perioperative Medicine Lund, Sweden Skane University Hospital - Dept of Intensive Care and Perioperative Medicine Lund, Sweden.
Lakartidningen. 2015 Sep 1;112:DITT.
Poor communication between surgical and anesthesia unit personnel may jeopardize patient safety. Review reports from a national survey on patient safety performed at 17 units 2011-2013 were analyzed in order to identify strategies to reduce risks related to the interaction between surgery and anesthesia. The reports were reviewed in this study by an independent group in order to extract findings related to communication between anesthesia and surgical unit personnel. Suggested strategies to improve patient safety included: uniform national health declaration forms; consistent use of admission notes; uniform systems for documenting medical information; multidisciplinary forum for evaluation of high-risk patients; weekly and daily scheduling of surgical programs; application of the WHO check list; open dialog during surgery; oral and written reports from the surgeon to the postoperative unit; and combined mortality and morbidity conferences.
外科与麻醉科室人员之间沟通不畅可能危及患者安全。对2011 - 2013年在17个科室进行的全国患者安全调查的报告进行了分析，以确定降低与手术和麻醉相互作用相关风险的策略。本研究由一个独立小组对报告进行审查，以提取与麻醉和外科科室人员之间沟通相关的结果。建议的提高患者安全的策略包括：统一的国家健康申报表格；一致使用入院记录；统一的医疗信息记录系统；多学科高危患者评估论坛；手术计划的每周和每日安排；应用世界卫生组织检查表；手术期间进行开放式对话；外科医生向术后科室提交口头和书面报告；以及联合死亡率和发病率会议。
