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Critical incident monitoring in anaesthesia.

机译:麻醉中的关键事件监控。

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PURPOSE OF REVIEW: Updates on developments in critical incident monitoring in anaesthesia, and assesses its role in improving patient safety. RECENT FINDINGS: Critical incident reporting has become more widely accepted as an effective way to improve anaesthetic safety, and has continued to highlight the importance of human errors and system failures. The establishment of an international database also improves critical incident reporting. Experiences from the national reporting and learning system in the UK have provided some solutions to the many problems and criticisms faced by the critical incident reporting technique. Direct observations to detect errors are more accurate than voluntary reporting of critical incidents, and may be a promising new approach. SUMMARY: Critical incident monitoring is a valuable tool in ensuring patient safety due to its low cost and the ability to provide a comprehensive body of detailed qualitative information. The qualitative information gathered can be used to develop strategies to prevent and manage existing problems, as well as to plan further initiatives for patient safety. Novel approaches should complement existing methods to achieve better results. The development of a culture which emphasises safety should go hand in hand with current audit activities.
机译:审查目的:麻醉中关键事件监测的最新进展,并评估其在改善患者安全方面的作用。最近的发现:关键事件报告已被广泛接受为提高麻醉安全性的有效方法,并且继续突显人为错误和系统故障的重要性。建立国际数据库还可以改善关键事件的报告。英国国家报告和学习系统的经验为关键事件报告技术面临的许多问题和批评提供了一些解决方案。直接观察以发现错误要比自愿报告关键事件更为准确,并且可能是一种有前途的新方法。简介:关键事件监视由于其低成本和提供全面的详细定性信息的能力而成为确保患者安全的宝贵工具。所收集的定性信息可用于制定预防和管理现有问题的策略,以及为患者安全制定进一步的计划。新方法应补充现有方法以获得更好的结果。强调安全文化的发展应与当前的审计活动紧密结合。

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