乌克兰麻醉期间的患者安全：国家审计结果。

Patient safety during anesthesia in Ukraine: national audit results.

机构信息

Postgraduate Department of Surgery, Anesthesiology and Intensive Care, Bogomolets National Medical University, 13 T. Shevchenko Boulevard, 01601, Kyiv, Ukraine.

出版信息

BMC Anesthesiol. 2022 May 27;22(1):164. doi: 10.1186/s12871-022-01704-7.

DOI:10.1186/s12871-022-01704-7

PMID:35624436

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9137063/

Abstract

BACKGROUND

Although anesthesiologists are one of the leaders in patient safety, anesthesia in low and low-middle income countries still need improvement in safety mesures with evidence-based practice application. The study aim was to audit the safety principles implementation in the Ukrainian anesthesiologist`s practice.

METHODS

The study was held in March 2021-Februrary 2022 by filling out an online questionnarie. The link to the survey was distributed through Ukrainian Anesthesiologists Association (UAA) members emails and also published on UAA webpage and facebook page. The email was sent to 1000 UAA members.

RESULTS

Summary 210 respondents took part in the study. Among the respondents, 79.1% of respondents are aware of the Helsinki Declaration on Patient Safety in Anesthesiology, but only 40,3% declared that the principles of this Declaration had been implemented in their medical institutions. Even though most of the respondents declared that the quality of the work has improved with the application of the Helsinki Declaration, 16% stated, that there is no positive impact. Most of the medical institutions include mandatory perioperative monitoring, while 17% of hospitals have no access to pulse oximetry for all patients in the operating room and intensive care unit. Concerning using clinical protocols, the one on the treatment of massive bleeding is used in 60.3% of cases, on infection control in 60.5%. In relation to checklists, 28.2% of respondents have never heard about the WHO Safe Surgery checklist. Checklists for equipment inspection are used in only 27.8% of medical institutions. 72.8% hospitals keep records of anaesthesia complications.

CONCLUSION

The study showed that significant positive steps are being taken to improve patient safety in Ukraine, where most hospitals comply with the minimum standarts of monitoring during anesthesia. Although there are many challenges for improvement, more hospitals need to implement WHO Safe Surgery and equipment checklists, protocols etc. These areas are a priority for further development in Ukraine.

TRIAL REGISTRATION

Clinicaltrials.gov NCT05175976 on 04/01/2022.

摘要

背景

尽管麻醉师是患者安全的领导者之一，但在低和中低收入国家，麻醉仍需要在安全措施方面进行改进，以应用基于证据的实践。本研究旨在审查乌克兰麻醉师实践中安全原则的实施情况。

方法

该研究于 2021 年 3 月至 2022 年 2 月通过填写在线问卷进行。通过乌克兰麻醉师协会 (UAA) 成员的电子邮件分发调查链接，并在 UAA 网页和 Facebook 页面上发布。向 1000 名 UAA 成员发送了电子邮件。

结果

总结 210 名受访者参加了这项研究。在受访者中，79.1%的受访者了解《赫尔辛基患者安全宣言》在麻醉学中的应用，但只有 40.3%的受访者宣称该宣言的原则已在其医疗机构中实施。尽管大多数受访者表示应用《赫尔辛基宣言》提高了工作质量，但 16%的人表示没有积极影响。大多数医疗机构都包括强制性围手术期监测，而 17%的医院在手术室和重症监护病房没有为所有患者提供脉搏血氧饱和度监测。在使用临床方案方面，有 60.3%的病例使用了关于大出血治疗的方案，有 60.5%的病例使用了感染控制方案。关于检查表，28.2%的受访者从未听说过世界卫生组织安全手术检查表。只有 27.8%的医疗机构使用设备检查表。72.8%的医院保存麻醉并发症记录。