Bohnet-Joschko Sabine, Zippel Claus, Siebert Hartmut
Walcker-Stiftungsprofessur für Management und Innovation im Gesundheitswesen, Fakultät für Wirtschaftswissenschaft, Universität Witten/Herdecke, Witten, Deutschland.
Walcker-Stiftungsprofessur für Management und Innovation im Gesundheitswesen, Fakultät für Wirtschaftswissenschaft, Universität Witten/Herdecke, Witten, Deutschland.
Z Evid Fortbild Qual Gesundhwes. 2015;109(9-10):725-35. doi: 10.1016/j.zefq.2015.06.001. Epub 2015 Jul 16.
The use and organisation of medical technology has an important role to play for patient and user safety in anaesthesia.
Specification of the recommendations of the German Coalition for Patient Safety (APS) for users and operators of anaesthesia equipment, explore opportunities and challenges for the safe use and organisation of anaesthesia devices.
We conducted a literature search in Medline/PubMed for studies dealing with the APS recommendations for the prevention of medical device-related risks in the context of anaesthesia. In addition, we performed an internet search for reports and recommendations focusing on the use and organisation of medical devices in anaesthesia. Identified studies were grouped and assigned to the recommendations. The division into users and operators was maintained.
Instruction and training in anaesthesia machines is sometimes of minor importance. Failure to perform functional testing seems to be a common cause of critical incidents in anaesthesia. There is a potential for reporting to the federal authority. Starting points for the safe operation of anaesthetic devices can be identified, in particular, at the interface of staff, organisation, and (anaesthesia) technology.
The APS recommendations provide valuable information on promoting the safe use of medical devices and organisation in anaesthesia. The focus will be on risks relating to the application as well as on principles and materials for the safe operation of anaesthesia equipment.
医疗技术的使用和组织在麻醉领域对患者及使用者安全起着重要作用。
明确德国患者安全联盟（APS）针对麻醉设备使用者和操作者的建议，探讨麻醉设备安全使用及组织方面的机遇与挑战。
我们在Medline/PubMed中进行文献检索，查找有关APS在麻醉领域预防与医疗设备相关风险的建议的研究。此外，我们在互联网上搜索专注于麻醉中医疗设备使用和组织的报告及建议。对识别出的研究进行分组并归入相应建议。使用者和操作者的划分保持不变。
麻醉机的操作指导和培训有时不太受重视。未进行功能测试似乎是麻醉中严重事件的常见原因。存在向联邦当局报告的可能性。尤其在人员、组织和（麻醉）技术的接口处，可以确定麻醉设备安全操作的切入点。
APS的建议为促进麻醉中医疗设备的安全使用和组织提供了有价值的信息。重点将放在与应用相关的风险以及麻醉设备安全操作的原则和材料上。
