Harfaoui Wafaa, Alilou Mustapha, El Adib Ahmed Rhassane, Lekehal Mehdi, Bounsir Ayoub, Belyamani Lahcen, Obtel Majdouline
Epidemiology and Public Health, Laboratory of Community Health, Preventive Medicine and Hygiene, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, MAR.
Epidemiology and Public Health, Laboratory of Biostatistics, Clinical Research and Epidemiology, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, MAR.
Cureus. 2025 Aug 6;17(8):e89508. doi: 10.7759/cureus.89508. eCollection 2025 Aug.
Anesthesiology is crucial to modern medical care. In Morocco, significant progress has been made in anesthesiology patient safety since the early 20th century, thanks to advances in pharmacology, technology, and training. However, challenges persist that call for rigorous action. Our study assesses the current state of anesthetic practice in Morocco and aims to propose an integrated framework adapted to the Moroccan context in order to sustainably improve anesthetic practice. Additionally, this article presents a systematic and structured review of the literature, accompanied by a contextual synthesis based on an adapted PRISMA method. The analysis is based on three main studies, chosen for their relevance and methodological quality, as well as on complementary references from databases. Thus, the synthesis of the three selected articles provides a comprehensive view of anesthesiology safety issues. It describes international advances and promising innovations, as well as the challenges faced by low- and middle-income countries. In the context of Morocco, the findings highlight both convergences and divergences in patient safety practices. Specific challenges include territorial disparities, a shortage of professionals, financial and material constraints, insufficient continuing education, and the absence of an adequate legislative framework. Additionally, this study highlights the initiatives underway and the implementations carried out by the new reforms, which aims to remedy persistent deficits and raise all aspects and areas necessary to adopt solutions appropriate to Moroccan realities. Finally, to enhance patient safety in Moroccan anesthesiology, a multidisciplinary collaboration is needed that prioritizes the ongoing development of national standardized guidelines, competency-based training with continuous maintenance of competence, and the establishment of clear legal and regulatory standards for licensing, accreditation, and minimum safety requirements during anesthesia. This strategy should integrate technological innovations tailored to local resources and socioeconomic realities, supported by continuous research and structured patient engagement. By addressing ethical, regulatory, and resource-specific barriers, these measures will help establish safe, high-quality anesthesiology in care delivery.
麻醉学对现代医疗至关重要。在摩洛哥，自20世纪初以来，由于药理学、技术和培训方面的进步，麻醉学患者安全已取得显著进展。然而，挑战依然存在，需要采取严格行动。我们的研究评估了摩洛哥麻醉实践的现状，旨在提出一个适应摩洛哥国情的综合框架，以可持续地改善麻醉实践。此外，本文还对文献进行了系统而结构化的综述，并基于一种改编的PRISMA方法进行了背景综合分析。该分析基于三项主要研究，因其相关性和方法学质量而被选中，同时还参考了数据库中的补充文献。因此，对三篇选定文章的综合提供了麻醉学安全问题的全面视角。它描述了国际进展和有前景的创新，以及低收入和中等收入国家面临的挑战。在摩洛哥的背景下，研究结果突出了患者安全实践中的趋同和差异。具体挑战包括地域差异、专业人员短缺、资金和物质限制、继续教育不足以及缺乏适当的立法框架。此外，本研究强调了新改革正在采取的举措和实施情况，这些改革旨在弥补持续存在的不足，并提升采取适合摩洛哥实际情况的解决方案所需的各个方面和领域。最后，为了提高摩洛哥麻醉学中的患者安全，需要开展多学科合作，优先制定国家标准化指南、基于能力的培训并持续保持能力，以及建立明确的法律和监管标准，用于麻醉期间的许可、认证和最低安全要求。这一战略应整合适合当地资源和社会经济现实的技术创新，并辅以持续研究和结构化的患者参与。通过解决伦理、监管和特定资源方面的障碍，这些措施将有助于在医疗服务中建立安全、高质量的麻醉学。
