[Systemic analysis using ALARM process of two consecutive incidents during anaesthesia].
Compulsory professional practice evaluation will require holding frequent morbidity mortality staffs. Those staffs must follow strict methodology. We report successive steps of systemic analysis according to ALARM process of two successive non lethal anaesthetic incidents. Such analysis helped identifying care management problems and their systemic causes. Thus it leaded to corrective measures in order to prevent such events recurrence. Moreover, it allowed systemic defaults correction that prevent future other accidents.
Raux
M
M
Département d'anesthésie-réanimation et urgences, fondation ophtalmologique Adolphe-de-Rothschild, Paris, France.
Dupont
M
M
Devys
J-M
JM
D000758:Anesthesia / Q000009:adverse effects*; D002675:Child, Preschool; D006801:Humans; D008297:Male; D012308:Risk Management