title: [Risk management in anesthesia and critical care medicine].
abstract: Throughout its history, anesthesia and critical care medicine has experienced vast improvements to increase patient safety. Consequently, anesthesia has never been performed on such a high level as it is being performed today. As a result, we do not always fully perceive the risks involved in our daily activity. A survey performed in Swiss hospitals identified a total of 169 hot spots which endanger patient safety. It turned out that there is a complex variety of possible errors that can only be tackled through consistent implementation of a safety culture. The key elements to reduce complications are continuing staff education, algorithms and standard operating procedures (SOP), working according to the principles of crisis resource management (CRM) and last but not least the continuous work-up of mistakes identified by critical incident reporting systems.
authors.affiliation: Klinik und Poliklinik für Anästhesiologie und Intensivtherapie, Universitätsklinikum Carl Gustav Carus, 01307, Dresden, Deutschland. carolin.eisold@uniklinikum-dresden.de.
authors.forename: C
authors.initials: C
authors.lastname: Eisold
authors.affiliation: Klinik und Poliklinik für Anästhesiologie und Intensivtherapie, Universitätsklinikum Carl Gustav Carus, 01307, Dresden, Deutschland.
authors.forename: A R
authors.initials: AR
authors.lastname: Heller
mesh_terms: D000465:Algorithms; D000758:Anesthesia / Q000379:methods* / Q000592:standards; D003422:Critical Care / Q000379:methods* / Q000592:standards; D005858:Germany; D006302:Health Services Research; D006801:Humans; D007318:Inservice Training / Q000592:standards; D061214:Patient Safety / Q000592:standards; D012308:Risk Management / Q000379:methods* / Q000592:standards; D011795:Surveys and Questionnaires; D013647:Task Performance and Analysis
keywords: Algorithms; Critical incident techniques; Healthcare crew resource management; Patient safety; Standard of care