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《赫尔辛基宣言》发布十年来麻醉患者安全:围术期安全方面的专家意见

Ten years of the Helsinki Declaration on patient safety in anaesthesiology: An expert opinion on peri-operative safety aspects.

机构信息

From the Department of Anaesthesiology, Amsterdam University Medical Centers, Academic Medical Center (AMC), Amsterdam, The Netherlands (BP), Institute for Anaesthesia and Intensive Care Medicine, Spital Männedorf AG, Männedorf, Switzerland (SS), Department of Anaesthesiology, Perioperative Medicine and Intensive Care, Paracelsus Medical University Salzburg, Salzburg, Austria (SS), Department of Anaesthesiology and Critical Care, University Hospital Fundación Alcorcón Madrid, Spain (DA), Department of Anaesthesia and Intensive Care, Haukeland University Hospital (GB, ASH), Department of Clinical Medicine, University of Bergen, Bergen, Norway (GB), Department of Anesthesiology and Critical Care Medicine, Perelman School of Medicine, Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pennsylvania, USA (JMF), Anaesthetic Department, St James's Hospital, Dublin, Ireland (RF-OC), Department of Anesthesiology & Critical Care, University de Lorraine, CHRU Nancy, Brabois University Hospital, Nancy, France (TF-B), Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California, USA (SNG-F), Department of Anaesthesiology, Geneva University Hospitals, Geneva, Switzerland (GH), Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia (GH), Department of Anesthesiology, Onze-Lieve-Vrouwziekenhuis Hospital Aalst, Aalst, Belgium (JFAH), Division of Anesthesiology, Intensive Care and Emergency Medicine, University Medical Center Utrecht, Utrecht, The Netherlands (CJK), Department of Anesthesiology, Intensive Care Medicine & Pain Therapy, University Hospital Frankfurt, Frankfurt (PM, KZ), Department of Anaesthesiology, University Hospital Würzburg, Würzburg (PM), Department of Anesthesiology, University Hospital Heidelberg, Heidelberg, Germany (CN), Copenhagen Academy for Medical Education and Simulation (DØ), Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark (DØ), Paediatric Intensive Care Unit, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, UK (AP), Product Management Anesthesiology, Drägerwerk AG & Co. KGaA, Lübeck, Germany (HUS), Department of Anaesthesia, Royal Lancaster Infirmary, Lancaster, UK (AFS), Department of Anaesthesiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands (MMRFS), Department of Basic and Applied Medical Sciences, Ghent University, Ghent, Belgium (MMRFS), Department of Acute Medicine, Ysbyty Gwynedd Hospital, Bangor, UK (CPS), School of Medical Science, Bangor University, Bangor, UK (CPS), Institute of Anaesthesia and Intensive Care IFAI, Hirslanden Clinic, Zurich, Switzerland (JWa), Department of Critical Care, University College Hospital, London (JWe), Department of Anaesthesia, Manchester Royal Infirmary, Manchester, UK (DKW) and Department of Anaesthesia and Intensive Care Medicine, Baerum Hospital, Sandvika, Norway (JM-O).

出版信息

Eur J Anaesthesiol. 2020 Jul;37(7):521-610. doi: 10.1097/EJA.0000000000001244.

Abstract

: Patient safety is an activity to mitigate preventable patient harm that may occur during the delivery of medical care. The European Board of Anaesthesiology (EBA)/European Union of Medical Specialists had previously published safety recommendations on minimal monitoring and postanaesthesia care, but with the growing public and professional interest it was decided to produce a much more encompassing document. The EBA and the European Society of Anaesthesiology (ESA) published a consensus on what needs to be done/achieved for improvement of peri-operative patient safety. During the Euroanaesthesia meeting in Helsinki/Finland in 2010, this vision was presented to anaesthesiologists, patients, industry and others involved in health care as the 'Helsinki Declaration on Patient Safety in Anaesthesiology'. In May/June 2020, ESA and EBA are celebrating the 10th anniversary of the Helsinki Declaration on Patient Safety in Anaesthesiology; a good opportunity to look back and forward evaluating what was achieved in the recent 10 years, and what needs to be done in the upcoming years. The Patient Safety and Quality Committee (PSQC) of ESA invited experts in their fields to contribute, and these experts addressed their topic in different ways; there are classical, narrative reviews, more systematic reviews, political statements, personal opinions and also original data presentation. With this publication we hope to further stimulate implementation of the Helsinki Declaration on Patient Safety in Anaesthesiology, as well as initiating relevant research in the future.

摘要

患者安全是一项旨在减轻医疗保健过程中可能发生的可预防患者伤害的活动。欧洲麻醉学会(EBA)/欧洲医学专家联合会之前发布了关于最低限度监测和麻醉后护理的安全建议,但由于公众和专业人士对此越来越感兴趣,因此决定编写一份涵盖范围更广的文件。EBA 和欧洲麻醉学会(ESA)就改善围手术期患者安全所需采取的措施达成了共识。在 2010 年于芬兰赫尔辛基举行的欧洲麻醉学会会议上,将这一愿景呈现给麻醉师、患者、行业和其他参与医疗保健的人员,作为“麻醉学患者安全赫尔辛基宣言”。2020 年 5 月/6 月,ESA 和 EBA 将庆祝麻醉学患者安全赫尔辛基宣言十周年;这是一个回顾和展望过去十年所取得成就以及未来几年需要做什么的好机会。ESA 的患者安全和质量委员会(PSQC)邀请其领域的专家参与,并请这些专家以不同的方式讨论他们的主题;既有经典的、叙述性的评论,也有更系统的评论、政治声明、个人意见,还有原始数据展示。我们希望通过这份出版物,进一步推动赫尔辛基宣言在麻醉学患者安全方面的实施,并在未来开展相关研究。

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