Eichhorn J H, Cooper J B, Cullen D J, Maier W R, Philip J H, Seeman R G
JAMA. 1986;256(8):1017-20.
As part of a major patient safety/risk management effort, the Department of Anaesthesia of Harvard Medical School, Boston, has devised specific, detailed, mandatory standards for minimal patient monitoring during anesthesia at its nine component teaching hospitals. Such standards have not previously existed, and resistance to the concept was anticipated but not seen. The standards are technically achievable in all settings and affordable in terms of effort and cost. Early detection of untoward trends or events during anesthesia will result in prevention or mitigation of patient injury; this, in turn, may also help counter the explosive increases in anesthesia-related malpractice actions, settlements, judgments, and insurance premiums. The committee process used is applicable to the promulgation of standards of practice for all medical specialties and any organized group of medical practitioners.
作为一项重大患者安全/风险管理工作的一部分，位于波士顿的哈佛医学院麻醉科已为其九家附属医院在麻醉期间的最低限度患者监测制定了具体、详细的强制性标准。此前此类标准并不存在，预计会有人抵制这一概念，但并未出现这种情况。这些标准在所有环境中从技术上都是可以实现的，并且在工作量和成本方面都是可以承受的。在麻醉期间尽早发现不良趋势或事件将有助于预防或减轻患者伤害；反过来，这也可能有助于应对与麻醉相关的医疗事故诉讼、和解、判决及保险费的激增。所采用的委员会流程适用于所有医学专业及任何有组织的医学从业者群体的执业标准颁布。
