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首页> 外文期刊>Anesthesia and Analgesia: Journal of the International Anesthesia Research Society >FOCUS: the Society of Cardiovascular Anesthesiologists' initiative to improve quality and safety in the cardiovascular operating room.
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FOCUS: the Society of Cardiovascular Anesthesiologists' initiative to improve quality and safety in the cardiovascular operating room.

机译:重点:心血管麻醉医师协会旨在提高心血管手术室质量和安全性的倡议。

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The Society of Cardiovascular Anesthesiologists (SCA) introduced the FOCUS initiative (Flawless Operative Cardiovascular Unified Systems) in 2005 in response to the need for a rigorous scientific approach to improve quality and safety in the cardiovascular operating room (CVOR). The goal of the project, which is supported by the SCA Foundation, is to identify hazards and develop evidence-based protocols to improve cardiac surgery safety. A hazard is anything that has the potential to cause a preventable adverse event. Specifically, the strategic plan of FOCUS includes 3 goals: (1) identifying hazards in the CVOR, (2) prioritizing hazards and developing risk-reduction interventions, and (3) disseminating these interventions. Collectively, the FOCUS initiative, through the work of several groups composed of members from different disciplines such as clinical medicine, human factors engineering, industrial psychology, and organizational sociology, has identified and documented significant hazards occurring daily in our CVORs. Some examples of frequent occurrences that contribute to reduce the safety and quality of care provided to cardiac surgery patients include deficiencies in teamwork, poor OR design, incompatible technologies, and failure to adhere to best practices. Several projects are currently under way that are aimed at better understanding these hazards and developing interventions to mitigate them. The SCA, through the FOCUS initiative, has begun this journey of science-driven improvement in quality and safety. There is a long and arduous road ahead, but one we need to continue to travel.
机译:心血管麻醉医师协会(SCA)在2005年提出了FOCUS倡议(无瑕手术心血管统一系统),以响应对采用严格的科学方法改善心血管手术室(CVOR)的质量和安全性的需求。由SCA基金会支持的该项目的目标是识别危害并制定基于证据的规程以提高心脏手术的安全性。危害是指可能引起可预防的不良事件的任何事物。具体来说,FOCUS的战略计划包括3个目标:(1)识别CVOR中的危害,(2)确定危害的优先级并制定降低风险的干预措施,以及(3)传播这些干预措施。总的来说,FOCUS倡议通过由来自不同学科(例如临床医学,人为因素工程,工业心理学和组织社会学)的成员组成的几个小组的工作,确定并记录了我们CVOR中每天发生的重大危害。导致降低为心脏外科手术患者提供的医疗服务的安全性和质量的频繁发生的一些例子包括团队合作不足,手术室设计不佳,技术不兼容以及未能遵循最佳实践。目前正在进行几个项目,旨在更好地了解这些危害并制定干预措施以减轻危害。 SCA通过FOCUS倡议,已经开始了科学驱动的质量和安全性改进之旅。前面的道路漫长而艰巨,但我们需要继续前进。

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