Pôle Anesthésie-Réanimation, Bloc des Urgences/Déchocage, CHU de Lille, Lille, France; Pôle de l'Urgence, Bloc des Urgences/Déchocage, CHU de Lille, Lille, France.
Président du Groupe Facteurs Humains en Santé, France; Directeur Général et Cofondateur Patient Safety Database, France; Directeur Général et Cofondateur Safe Team Academy, France.
Anaesth Crit Care Pain Med. 2023 Aug;42(4):101262. doi: 10.1016/j.accpm.2023.101262. Epub 2023 Jun 7.
To provide guidelines to define the place of human factors in the management of critical situations in anaesthesia and critical care.
A committee of nineteen experts from the SFAR and GFHS learned societies was set up. A policy of declaration of links of interest was applied and respected throughout the guideline-producing process. Likewise, the committee did not benefit from any funding from a company marketing a health product (drug or medical device). The committee followed the GRADE® method (Grading of Recommendations Assessment, Development and Evaluation) to assess the quality of the evidence on which the recommendations were based.
We aimed to formulate recommendations according to the GRADE® methodology for four different fields: 1/ communication, 2/ organisation, 3/ working environment and 4/ training. Each question was formulated according to the PICO format (Patients, Intervention, Comparison, Outcome). The literature review and recommendations were formulated according to the GRADE® methodology.
The experts' synthesis work and application of the GRADE® method resulted in 21 recommendations. Since the GRADE® method could not be applied in its entirety to all the questions, the guidelines used the SFAR "Recommendations for Professional Practice" A means of secured communication (RPP) format and the recommendations were formulated as expert opinions.
Based on strong agreement between experts, we were able to produce 21 recommendations to guide human factors in critical situations.
为定义人为因素在麻醉和重症监护危急情况管理中的地位提供指导方针。
成立了一个由来自 SFAR 和 GFHS 学会的 19 名专家组成的委员会。在整个指南制定过程中，委员会都遵循了利益声明政策，并严格遵守该政策。此外，委员会没有从任何销售医疗产品（药物或医疗器械）的公司获得资金。委员会遵循 GRADE®方法（推荐评估、制定和评估分级），对建议所依据的证据质量进行评估。
我们旨在根据 GRADE®方法为四个不同领域制定建议：1/沟通，2/组织，3/工作环境和 4/培训。每个问题都根据 PICO 格式（患者、干预、比较、结果）进行了表述。文献综述和建议的制定均遵循 GRADE®方法。
专家的综合工作和 GRADE®方法的应用产生了 21 项建议。由于 GRADE®方法不能完全适用于所有问题，因此指南采用了 SFAR“专业实践建议”（RPP）格式，并将建议作为专家意见进行表述。
基于专家之间的强烈共识，我们能够制定 21 项建议，以指导人为因素在危急情况下的应用。
