Mahankali Subramanyam S, Nair Priya
Department of Anaesthesia and Pain Medicine, Aster RV Hospital, Bangalore, Karnataka, India.
Department of Anaesthesia, Columbia Asia Referral Hospital, Bangalore, Karnataka, India.
J Anaesthesiol Clin Pharmacol. 2019 Jul-Sep;35(3):295-301. doi: 10.4103/joacp.JOACP_375_18.
Since the first public demonstration of anaesthesia in Boston, USA which happened around 172 years back, the field of anesthesiology has rapidly progressed, with many developments that have improved the quality and safety of anesthesia care. This has enabled tremendous advances in the surgical disciplines and increasing the life expectancy and quality of life of humans. This is a result of learning and constantly evolving. There are several similarities between healthcare and other industries, though there are several distinguishing characteristics that set it apart from other industries. There are a number of safety and quality improvement measures in healthcare which have been influenced by safety practices in other industries. Anaesthesia has been the leader among the medical specialities in adoption of innovative practices from various industries in an effort to advance patient safety, enhance quality of care, reduce waste & inefficiency, and improve customer service and satisfaction. This article emphasises on learnings from other industries in the recent decades, focusing on aviation, high-reliability organizations, car manufacturing, telecommunication, car racing, entertainment, and retail. Learning and implanting the best practices from these industries can bring about a paradigm shift in health care industry. It has a potential to improve efficiency and make anaesthesia safer than ever before in the history of human kind.
自约172年前在美国波士顿首次公开演示麻醉以来，麻醉学领域发展迅速，取得了诸多进展，提升了麻醉护理的质量与安全性。这推动了外科学科的巨大进步，延长了人类的预期寿命，提高了生活质量。这是不断学习和发展的结果。医疗保健行业与其他行业有一些相似之处，不过也有一些使其有别于其他行业的显著特征。医疗保健领域的一些安全和质量改进措施受到了其他行业安全实践的影响。麻醉学在采用各行业的创新做法以推进患者安全、提高护理质量、减少浪费与低效率以及改善客户服务与满意度方面一直处于医学专科的领先地位。本文着重介绍近几十年来从其他行业获得的经验教训，重点关注航空、高可靠性组织、汽车制造、电信、赛车、娱乐和零售行业。学习并应用这些行业的最佳做法能够给医疗保健行业带来范式转变。它有可能提高效率，使麻醉比人类历史上以往任何时候都更安全。
