scholarly journals PATIENT SAFETY IN THE OPERATING ROOM: HELSINKI DECLARATION IMPLEMENTATION IN UKRAINE

2021 ◽  
pp. 38-44
Author(s):  
K. BIELKA ◽  
I. KUCHYN ◽  
N. SEMENKO
Keyword(s):  
Patient Safety ◽  
Operating Room ◽  
Improve Patient Safety ◽  
Postgraduate Education ◽  
Perioperative Period ◽  
National Medical ◽  
Medical Institutions ◽  
Helsinki Declaration ◽  
Improve Patient

Patient safety in the operative and perioperative period is critically important. The consequences of anesthesia complications have a significant impact on long-term surgical outcomes, quality of life of patients, morbidity and mortality. The purpose of the study was to assess the implementation of the components of the Helsinki Declaration in the practice of Ukrainian hospitals. Materials and methods. The survey was conducted in March-June 2021 by filling out a standard Google form. The link to the survey was distributed on the official page of the Association of Anesthesiologists of Ukraine, through social networks Facebook and Instagram on the official pages of the Department of Surgery, Anesthesiology and Intensive Care of the Institute of Postgraduate Education of the Bogomolets National Medical University. A total of 174 respondents took part in the survey. According to the results, 79.3% of respondents are aware of the Helsinki Declaration on Patient Safety in Anesthesiology. Among the respondents, only 43% stated that the principles of the Helsinki Declaration had been implemented in their medical institutions, and 20.9% about plans to implement the principles in the near future. At the same time, in 36% of medical institutions the principles of the declaration are not used and their implementation is not planned. The Safe Surgery checklist is always used by 18.7% of respondents, sometimes by 18.7%, and 29.2% of respondents have never about a checklist. Only 47% of doctors have an airway table in the operating room, and only 30% document the inspection of equipment before anesthesia. Most physicians noted that they used protocols in their practice, but 10% said they mostly did not. Regarding the report of complications, only 46% of hospitals have a separate form (journal), most doctors only inform the head of complications orally. Measures to improve patient safety in medical institutions in 2012-2014 were implemented by 24.1% of respondents, in 2015-2017 by 19.1%, in 2018 – 10.6%, in 2019-2020 – 10,2% of respondents. Most of the respondents stated that the quality of the department’s work has improved and the level of patient safety has improved after the application of these principles in their work. The study showed that while significant positive steps are being taken to improve patient safety, there are still many challenges and opportunities for improvement.

Outcomes, Regulation, and Quality Improvement

2018 ◽  
Author(s):  
Julia Metzner ◽  
Karen B. Domino
Keyword(s):  
Patient Safety ◽  
Quality Improvement ◽  
Pulse Oximetry ◽  
Operating Room ◽  
Continuous Quality Improvement ◽  
Improve Patient Safety ◽  
Remote Locations ◽  
Continuous Quality ◽  
National Patient ◽  
Improve Patient

To improve the safety of patients undergoing procedures in remote locations, practitioners should be familiar with rigorous continuous quality improvement systems, national and regulatory patient safety efforts, as well as complications related to anesthesia/sedation in out of the operating room (OOOR) settings. This chapter discusses severe outcomes and mechanisms of injury in OOOR locations, national patient safety and regulatory efforts that may be adapted to the OOOR setting, and quality improvement efforts essential to track outcomes and improve patient safety. Patient safety can be improved by adherence to respiratory monitoring (e.g., pulse oximetry and capnography), sedation standards/guidelines and national patient safety and regulatory efforts, and development of vigorous quality improvement systems to measure outcomes and make changes.

scholarly journals Improving patient safety in perioperative care for major surgeries

2012 ◽  
Vol 153 (37) ◽  
pp. 1447-1455 ◽  
Author(s):  
Alexandra Horváth ◽  
Géza Reusz ◽  
János Gál ◽  
Ákos Csomós
Keyword(s):  
Patient Safety ◽  
Perioperative Care ◽  
Improve Patient Safety ◽  
Medical Practices ◽  
European Consensus ◽  
Perioperative Nutrition ◽  
Goal Directed Fluid Therapy ◽  
Helsinki Declaration ◽  
Improve Patient ◽  
European Board

The Helsinki Declaration was created and signed by the European Board of Anaesthesiology (EBA) and the European Society of Anaesthesiology (ESA). It was initiated in June 2010, and it implies a European consensus on those medical practices which improve patient safety and provide higher quality perioperative care. Authors focus on four elements of this initiative, which can be easily implemented, and provide almost instant benefit: use of preoperative checklist, prevention of perioperative infections, goal-directed fluid therapy and perioperative nutrition. The literature review emphasizes that well organized perioperative care plays the most important role in improving patient safety. Orv. Hetil., 2012, 153, 1447–1455.

scholarly journals Technovigilance and risk management as tools to improve patient safety in Colombian health care institutions

2017 ◽  
Vol 11 (21) ◽  
Author(s):  
Andrés Mauricio González Vargas ◽  
Ana María Sánchez Benavides ◽  
Andrés Felipe Betancourt Hernández ◽  
Carlos David Mantilla Ramirez
Keyword(s):  
Health Care ◽  
Risk Management ◽  
Patient Safety ◽  
Health Services ◽  
Improve Patient Safety ◽  
Health Care Institutions ◽  
Improve Patient

This paper presents the results of a survey about technovigilance carried out in 21 clinical institutions from the southwest of Colombia. It also provides an analysis of how these programs take into account different risk management methodologies in order to create awareness of the importance of patient safety in all members of the staff and improve the quality of the health services provided.

Anesthesia and Sedation Outside of the Operating Room: Outcomes, Regulation, and Quality Improvement

2011 ◽  
pp. 62-73
Author(s):  
Julia Metzner ◽  
Karen B. Domino
Keyword(s):  
Patient Safety ◽  
Quality Improvement ◽  
Operating Room ◽  
Continuous Quality Improvement ◽  
Improve Patient Safety ◽  
Anesthesia Care ◽  
Remote Locations ◽  
Continuous Quality ◽  
National Patient ◽  
Improve Patient

Providing anesthesia care in areas outside the operating room (OOOR) has numerous challenges, including an unfamiliar environment; inadequate anesthesia support; deficient resources; cramped, dark, small rooms; and variability of monitoring modalities. In addition, sicker patients are undergoing more complex procedures in areas that may be physically located far from the OR environment. To improve safety of patients undergoing procedures in remote locations, practitioners need to be familiar with development of rigorous continuous quality improvement systems, national and regulatory patient safety efforts, as well as complications related to anesthesia/sedation in OOOR settings. This chapter will identify severe outcomes and mechanisms of injury in these remote locations, national patient safety and regulatory efforts that may be adapted to the OOOR setting, and quality improvement efforts essential to track outcomes and improve patient safety.

scholarly journals Introduction to the Rule Book of Pancreatobiliary Endoscopy Certification

2021 ◽  
Vol 26 (4) ◽  
pp. 224-232
Author(s):  
Won Suk Park
Keyword(s):  
Patient Safety ◽  
Improve Patient Safety ◽  
Endoscopic Retrograde ◽  
Endoscopic Procedures ◽  
Certification System ◽  
Systematic Training ◽  
Level Of Difficulty ◽  
Improve Patient ◽  
Biliary Endoscopy

An endoscopic retrograde cholangiopancreatography (ERCP) procedure requires the highest level of difficulty among endoscopic procedures and the complications related to the procedure is relatively high, and fatal. Training in ERCP requires the development of technical, cognitive, and integrative skills well beyond those needed for standard endoscopic procedures. Therefore, a system that certifies qualifications through objective and systematic training and examination is needed to improve patient safety and quality of medical services. This manuscript introduces a set of rules that contain all the necessary matters for the certification system of pancreatic and biliary endoscopy.

Making the Operating Room of the Future Safer

2006 ◽  
Vol 72 (11) ◽  
pp. 1102-1108
Author(s):  
Caprice C. Greenberg ◽  
Emilie M. Roth ◽  
Thomas B. Sheridan ◽  
Tejal K. Gandhi ◽  
Michael L. Gustafson ◽  
...  
Keyword(s):  
Patient Safety ◽  
Operating Room ◽  
Improve Patient Safety ◽  
Point Of Care ◽  
Process Variations ◽  
Limited Data ◽  
Improved Outcomes ◽  
Increasing Demand ◽  
Future Work ◽  
Improve Patient

There is an increasing demand for interventions to improve patient safety, but there is limited data to guide such reform. In particular, because much of the existing research is outcome-driven, we have a limited understanding of the factors and process variations that influence safety in the operating room. In this article, we start with an overview of safety terminology, suggesting a model that emphasizes “safety” rather than “error” and that can encompass the spectrum of events occurring in the operating room. Next, we provide an introduction to techniques that can be used to understand safety at the point of care and we review the data that exists relating such studies to improved outcomes. Future work in this area will need to prospectively study the processes and factors that impact patient safety and vulnerability in the operating room.

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