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首页> 外文期刊>Current opinion in anaesthesiology >Safety in the nonoperating room anesthesia suite is not an accident: lessons from the National Transportation Safety Board
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Safety in the nonoperating room anesthesia suite is not an accident: lessons from the National Transportation Safety Board

机译:非营利房间麻醉套件的安全不是偶然的:来自国家运输安全委员会的课程

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Purpose of review To review the findings of National Transportation Safety Board-related aviation near misses and catastrophes and apply these principles to the nonoperating room anesthesia (NORA) suite.Recent findings NORA is a specialty that has seen tremendous growth. In 2019, NORA contributes to a larger proportion of anesthesia practice than ever before. With this growth, the NORA anesthesiologist and team are challenged to provide safe, high-quality care for more patients, often with complex comorbidities, and are forced to utilize deeper levels of sedation and anesthesia than ever before. These added pressures create new avenues for human error and adverse outcomes.Summary Safety in modern anesthesia practice often draws comparison to the aviation industry. From distinct preoperational checklists, defined courses of action, safety monitoring and the process of guiding individuals through a journey, there are many similarities between the practice of anesthesia and flying an airplane. Consistent human performance is paramount to creating safe outcomes. Although human errors are inevitable in any complex process, the goal for both the pilot and physician is to ensure the safety of their passengers and patients, respectively. As the aviation industry has had proven success at managing human error with a dramatic improvement in safety, a deeper look at several key examples will allow for comparisons of how to implement these strategies to improve NORA safety.
机译:审查目的以审查未命中和灾难附近的国家运输安全委员会相关航空的调查结果,并将这些原则应用于非营利的房间麻醉(Nora)套房。特色调查结果是一种巨大增长的专业。 2019年,诺拉有助于大部分麻醉练习。凭借这种增长,诺拉麻醉师和团队挑战,为更多患者提供安全,高质量的护理,通常具有复杂的合并症,并且被迫利用比以往任何时候都更深入的镇静和麻醉。这些增加的压力为人为错误和不利结果创造了新的途径。现代麻醉实践中的安全性通常会与航空业比较。从不同的术前检查清单,通过旅程中定义的行动,安全监测和引导个人的过程,麻醉的做法和飞机之间存在许多相似之处。一致的人类表现至关重要创造安全结果。虽然在任何复杂的过程中人类错误都是不可避免的,但飞行员和医生的目标是分别确保其乘客和患者的安全。随着航空行业在管理人类错误的情况下成功,在安全的急救方面进行了巨大的进步,更深入的是若干关键实例将允许如何实现这些策略来改善诺拉安全。

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