Zhu Bin, Gao Huan, Zhou Xiangyong, Huang Jeffrey
1 Peking University International Hospital, Beijing, China.
2 Fangcheng County Hospital, Henan, China.
Am J Med Qual. 2018 Jan/Feb;33(1):93-99. doi: 10.1177/1062860617695615. Epub 2017 Mar 1.
There has been no nationwide investigation into anesthesia quality and patient safety in China. The authors surveyed Chinese anesthesiologists about anesthesia quality by sending a survey to all anesthesiologist members of the New Youth Anesthesia Forum via WeChat. The respondents could choose to use a mobile device or desktop to complete the survey. The overall response rate was 43%. Intraoperative monitoring: 77.9% of respondents reported that electrocardiogram monitoring was routinely applied for all patients; only 55% of the respondents reported that they routinely used end-tidal carbon dioxide monitoring for their patients under general anesthesia.
10.3% of respondents admitted that they had at least one wrong medicine administration in the past 3 months; 12.4% reported that they had at least one case of cardiac arrest in the past year. This is the first anesthesia quality survey in China. The findings revealed potential anesthesia safety issues in China.
中国尚未对麻醉质量和患者安全进行全国性调查。作者通过微信向新青年麻醉论坛的所有麻醉医师会员发送调查问卷，就麻醉质量问题对中国麻醉医师进行了调查。受访者可以选择使用移动设备或台式电脑完成调查。总体回复率为43%。术中监测：77.9%的受访者报告称，对所有患者常规应用心电图监测；只有55%的受访者报告称，他们在全身麻醉下对患者常规使用呼气末二氧化碳监测。
10.3%的受访者承认在过去3个月中至少有一次用药错误；12.4%的受访者报告称在过去一年中至少有一例心脏骤停病例。这是中国首次进行的麻醉质量调查。调查结果揭示了中国潜在的麻醉安全问题。
