title: [Prevention of medical device-related adverse events in hospitals: Specifying the recommendations of the German Coalition for Patient Safety (APS) for users and operators of anaesthesia equipment].
abstract: BACKGROUND
  The use and organisation of medical technology has an important role to play for patient and user safety in anaesthesia.
  
  
  OBJECTIVE
  Specification of the recommendations of the German Coalition for Patient Safety (APS) for users and operators of anaesthesia equipment, explore opportunities and challenges for the safe use and organisation of anaesthesia devices.
  
  
  METHODS
  We conducted a literature search in Medline/PubMed for studies dealing with the APS recommendations for the prevention of medical device-related risks in the context of anaesthesia. In addition, we performed an internet search for reports and recommendations focusing on the use and organisation of medical devices in anaesthesia. Identified studies were grouped and assigned to the recommendations. The division into users and operators was maintained.
  
  
  RESULTS
  Instruction and training in anaesthesia machines is sometimes of minor importance. Failure to perform functional testing seems to be a common cause of critical incidents in anaesthesia. There is a potential for reporting to the federal authority. Starting points for the safe operation of anaesthetic devices can be identified, in particular, at the interface of staff, organisation, and (anaesthesia) technology.
  
  
  CONCLUSIONS
  The APS recommendations provide valuable information on promoting the safe use of medical devices and organisation in anaesthesia. The focus will be on risks relating to the application as well as on principles and materials for the safe operation of anaesthesia equipment.
authors.affiliation: Walcker-Stiftungsprofessur für Management und Innovation im Gesundheitswesen, Fakultät für Wirtschaftswissenschaft, Universität Witten/Herdecke, Witten, Deutschland. Electronic address: Sabine.Bohnet-Joschko@uni-wh.de.
authors.forename: Sabine
authors.initials: S
authors.lastname: Bohnet-Joschko
authors.affiliation: Walcker-Stiftungsprofessur für Management und Innovation im Gesundheitswesen, Fakultät für Wirtschaftswissenschaft, Universität Witten/Herdecke, Witten, Deutschland.
authors.forename: Claus
authors.initials: C
authors.lastname: Zippel
authors.affiliation: Aktionsbündnis Patientensicherheit e. V., Berlin, Deutschland.
authors.forename: Hartmut
authors.initials: H
authors.lastname: Siebert
mesh_terms: D000761:Anesthesia Department, Hospital / Q000458:organization & administration* / Q000592:standards*; D004869:Equipment Safety / Q000592:standards*; D004864:Equipment and Supplies / Q000009:adverse effects* / Q000592:standards*; D004865:Equipment and Supplies, Hospital / Q000009:adverse effects* / Q000592:standards*; D005858:Germany; D006265:Health Care Coalitions; D006801:Humans; D019300:Medical Errors / Q000517:prevention & control*; D061214:Patient Safety; D058996:Quality Improvement / Q000458:organization & administration / Q000592:standards
keywords: Anaesthesia device; Anwender; Anästhesietechnik; Betreiber; Handlungsempfehlung; Medizintechnik-assoziierte Risiken; Patientensicherheit; medical device-related adverse events; operator; patient safety; recommendation; user