[A regular internal auditing and registration of critical incidents regarded as safety maintenance elements within the anesthetic management of patients].
The paper summarizes a 5-year experience of evaluating the safety of anesthetic management of patients with thermal lesions treated at the department of thermal lesions of Vishnevsky's Institute of Surgery, Russia's Academy of Medical Sciences. Regular internal auditings, based on the principles of registering the critical incidents, the course of 1473 general anesthesia managements was analyzed in 168 patients. The conclusion is that the introduction of protocols of anesthetic management as well as a regular monitoring over meeting the fixed targets cut the total frequency of critical incidents from 2.85 to 1.19 as estimated per one general anesthesia. Finally the authors suggest a concept whose essence in that the operation of the modern anesthesiology department must be based on a scientifically substantiated technology of anesthetic management.
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VL
Vinogradov
V V
VV
Likhvantsev
A A
AA
Alekseev
D000328:Adult; D000768:Anesthesia, General / Q000009:adverse effects* / Q000379:methods; D000777:Anesthetics; D002053:Burn Units / Q000592:standards; D002056:Burns / Q000150:complications / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008485:Medical Audit; D012042:Registries; D012426:Russia; D013647:Task Performance and Analysis
D000777:Anesthetics