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罗斯·霍兰德教授:麻醉下死亡特别调查委员会(SCIDUA)以及他在麻醉领域的其他贡献。

Professor Ross Holland: The Special Committee Investigating Deaths Under Anaesthesia (SCIDUA) and his other contributions to anaesthesia.

作者信息

Baker A B

机构信息

Emeritus Professor in Anaesthesia, Central Clinical School, University of Sydney, Sydney, New South Wales.

出版信息

Anaesth Intensive Care. 2018 Mar;46(7):18-28. doi: 10.1177/0310057X180460S104.

Abstract

As a young anaesthetic trainee in 1959 Ross Holland persuaded the Minister of Health in NSW, Australia, to establish SCIDUA, which by law required compulsory reporting for all deaths occurring during anaesthesia or up to 24 hours after cessation of the anaesthetic. The committee was multidisciplinary and, most importantly, had statutory privilege so that no discussions or findings were able to be subpoenaed for other legal investigations or case law. Holland was the foundation secretary of SCIDUA and later Chair. Apart from three years in the 1980s when there were political issues with legal privilege, the committee has met monthly and still meets. Holland was a major figure in antipodean anaesthesia, setting up in 1978 the clinical department at Westmead Hospital Sydney, then in 1987 becoming the foundation Professor to the Department of Anaesthesiology at the University of Hong Kong, and in 1990 foundation Professor and Chair, Department of Anaesthesia and Intensive Care at the University of Newcastle, NSW. Holland had strong historical interests and was responsible for founding the Society for the Preservation of Artefacts of Surgery and Medicine (SPASM) and its associated museum. He also served an important term as Dean of the Faculty of Anaesthetists, Royal Australasian College of Surgeons prior to that Faculty becoming independent as the Australian and New Zealand College of Anaesthetists (ANZCA). Professor Holland received many accolades for these activities during his life, which are noted. It is fitting to recognise his seminal contributions to patient safety over more than 50 years.

摘要

1959年,作为一名年轻的麻醉科实习生,罗斯·霍兰德说服了澳大利亚新南威尔士州的卫生部长成立了麻醉期间死亡及术后24小时内死亡情况调查委员会(SCIDUA),该委员会依据法律规定,要求对麻醉期间或麻醉结束后24小时内发生的所有死亡事件进行强制报告。该委员会是多学科的,最重要的是,它拥有法定特权,因此其讨论内容或调查结果不能被传唤用于其他法律调查或判例法。霍兰德是SCIDUA的首任秘书,后来担任主席。除了20世纪80年代因法律特权存在政治问题的那三年,该委员会每月都会开会,至今仍在召开。霍兰德是澳大拉西亚麻醉学界的重要人物,1978年在悉尼韦斯特米德医院设立了临床科室,1987年成为香港大学麻醉学系的首任教授,1990年成为新南威尔士州纽卡斯尔大学麻醉与重症监护系的首任教授兼系主任。霍兰德对历史有着浓厚的兴趣,负责创立了外科与医学文物保护协会(SPASM)及其相关博物馆。在澳大拉西亚皇家外科学院麻醉科成为独立的澳大利亚和新西兰麻醉师学院(ANZCA)之前,他还担任了该学院麻醉科主任的重要职务。霍兰德一生中因这些活动获得了许多赞誉,在此予以提及。认可他在50多年里对患者安全所做出的开创性贡献是恰当的。

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