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On the pretext that they could be the best experts for their own medical follow-up, doctors prefer self-diagnosis and self-medication or, too often, seek a quick advice, “between two doors” … : Alas, sometimes, it’s too late ! This alarming fact led the SMART Commission of the CFAR (French College of Anesthetists and Intensivists ) to initiate a sustainable awareness campaign with all the Doctors practicing in France. The Campaign is also possible in Europe and elsewhere in the World. This unprecedented initiative brings together more than 33 institutional partners. In their own media, through social networks or through local initiatives, all have committed themselves to the sustainable dissemination of incentive messages carried by 12 campaign visuals. These visuals are representative of the diversity of professional paths and modes of exercise, private or public sectors.

Substance use disorder (SUD) among anesthesiologists and other physicians poses serious risks to both physicians and patients. Formulation of policy and individual treatment plans is hampered by lack of data regarding the epidemiology and outcomes of physician SUD.

There is a culture within medicine that doctors do not expect themselves or their colleagues to be sick. Thus, the associated complexities of self-diagnosis, self-referral and self-treatment among physicians are significant and may have repercussions for both their own health and, by implication, for the quality of care delivered to patients.

The link between health care worker fatigue and adverse events is well documented, with a substantial number of studies indicating that the practice of extended work hours contributes to high levels of worker fatigue and reduced productivity. These studies and others show that fatigue increases the risk of adverse events, compromises patient safety, and increases risk to personal safety and well-being. While it is acknowledged that many factors contribute to fatigue, including but not limited to insufficient staffing and excessive workloads, the purpose of this Sentinel Event Alert is to address the effects and risks of an extended work day and of cumulative days of extended work hours.

Health care professionals whose focus is on patient safety are very familiar with these alarming and frequently cited statistics from the Institute of Medicine: medical errors result in the death of between 44,000 and 98,000 patients every year. Health care professionals whose focus is on occupational health and safety, however, are likely aware of additional statistics that are less well known: health care workers experience some of the highest rates of nonfatal occupational illness and injury—exceeding even construction and manufacturing industries. This monograph is intended to stimulate greater awareness of the potential synergies between patient and worker health and safety activities. Using actual case studies, it describes a range of topic areas and settings in which opportunities exist to improve patient safety and worker health and safety activities. This monograph is designed to bridge safety-related concepts and topics that are often siloed within the specific disciplines of patient safety/quality improvement and occupational health and safety.

Posted in: Other > Anaesthesia 2019 Language: english

Standardization has long been accepted as a fundamental element of patient safety by the APSF and others. The International Organization for Standardization (ISO) was established in Geneva in February 1947 initially to help standardize industrial development. Since then the scope of ISO has expanded to cover, among many other matters, anesthesia apparatus. As the world becomes a smaller place with regard to the manufacture of such equipment, it is becoming commonplace for many components of anesthesia workstations to be manufactured with a global market in mind. This takes on greater significance as health care staff become increasingly able to move around the world to practice their specialites. It therefore seems even more appropriate in 2014 that all ISO standards should be adopted globally.

Posted in: Other > Safety 2019 Language: english

Statement on Off-label use of medicines by anaesthesiologists

Maternal mortality is high in many low- and middle-income countries. Unsafe anaesthesia contributes to this, especially for women requiring Caesarean section. Anaesthesia providers with limited skills and poor resources are often faced with complicated obstetric patients. A new course called SAFE-OB teaches a systematic approach to anticipating, preparing for, and dealing with obstetric anaesthetic emergencies. The course has now been taught in many African, Asian, and Latin countries. Initial follow-up suggests improvement in skills and knowledge, and effective translation of these to the workplace. Efforts are made to make the course locally owned and sustainable. We feel that SAFE-OB is an effective method of improving obstetric anaesthesia care.

Each year, millions of infants and toddlers require anesthesia and/or sedation for surgery, procedures, and tests. Concern has been raised about the safety of the medicines used for anesthesia and sedation in young children. This concern is based on research in animals demonstrating long-term, possibly permanent, injury to the developing brain caused by exposure to these medicines.This injury results in abnormalities in behavior, learning, and memory in animals. The effect of exposure to anesthetic drugs in young children is unknown; however, some but not all studies have suggested that problems similar to those seen in animals could also occur in infants and toddlers.

The APSF persists in pursuit of its mission of zero tolerance for injury to patients. It serves as a model for the pioneering collaboration and commitment of the entire constellation of anesthesia-related professions to the common goal of patient safety.

National Audit Projects usually study an important anaesthesia-related topic of low incidence. Topics will be important to patients and anaesthetists, and be incompletely studied in incidence or nature.

We explain why recording patient safety incidents is important for learning and how to report these incidents. You can also find out how many incidents were recorded and how we use them to support healthcare providers to improve patient safety.

ANZCA's professional documents are crucial for promoting the safety and quality of patient care for those undergoing anaesthesia for surgical and other procedures. The professional documents provide guidance to the college’s trainees and fellows on standards of anaesthetic practice, define the college’s policies, and serve other purposes that the college deems appropriate. Professional documents are also referred to by government and other bodies, particularly with regard to accreditation of healthcare facilities.

GUIDELINES TO THE PRACTICE OF ANESTHESIA Revised Edition 2019. As recommended by the Canadian Anesthesiologists' Society

The WHO Integrated Management for Emergency & Essential Surgical Care e-learning toolkit (CD) has been developed by the Clinical Procedures Unit in collaboration with the Global Initiative for Emergency & Essential Surgical Care members. This tool targets policy-makers, managers, and health-care providers (surgeons, anaesthetists, non-specialist doctors, health officers, nurses, and technicians). This tool contains WHO recommendations for minimum standards to improve quality and safety of emergency, surgery, trauma, obstetrics and anaesthesia at first-referral level health-care facilities.

The Helsinki Declaration on Patient Safety in Anaesthesiology emphasises the role of anaesthesiology in promoting safe perioperative care.

A Starter Kit in Patient Safety in Anaesthesiology to raise safety standards across Europe.

12 lectures written by ESA and WHO to be downloaded and adapted by the lecturer.

Posted in: Guidelines & Standards > Anaesthesia 2019 Language: english

Association of Anaesthetists Guidelines

There are many opportunities for ASA, NZSA and ANZCA members and Fellows to work and teach overseas. Anaesthetists often ask for advice as to how to select and assess possible trips. This document aims to provide Fellows and members with some broad principles to help with their deliberations.

Posted in: Other > Professional Wellbeing 2019 Language: english

Burnout has become a critical and global issue facing medical practitioners today - anaesthesiologists are no exception. A national survey published in the Archives of Internal Medicine in 2012 reported that US physicians suffer more burnout than other American workers. 45.8% of physicians were experiencing at least 1 symptom of burnout: loss of enthusiasm for work, feelings of cynicism, and a low sense of personal accomplishment. In a recent survey, when anaesthesiologists were given the same criteria, 42% responded that they were burned out and 58% said that they were not. They were tied for fourth place in burnout rate with internists, general surgeons, and obstetricians/ gynaecologists (Peckham, 2013). WFSA has started an important study in this area with the aim of identifying work that can be developed at a global level and to help us to write guidelines to support anaesthesiologists living with or at risk of burnout. This tool, a short questionnaire, can help you check yourself for burnout. It helps you look at the way you feel about your job and your experiences at work, so that you can get a feel for whether you are at risk.

Posted in: Other > Professional Wellbeing 2019 Language: english

This project concerns the occupational health of anaesthesiologists, including the publication and promotion of the book "Occupational Well-Being of Anaesthesiologists". Edited by Dr Gastao Duval Neto, Chair of the WFSA's Professional Wellbeing Committee, and published by the Brazilian Society of Anaesthetists, the book brings together academics and practitioners concerned with the very real issues facing the health of anaesthesiologists around the world. The publication aims to stimulate the development of effective action on the part of world entities involved with anaesthesiology, in favour of the occupational health of anaesthesiologists and safety of their patients. For anaesthesiologists themselves it aims to promote awareness, conscious that awareness of any problem is the first step towards its solution. Available in English, Spanish, Chinese and Portuguese this is a "must read" for anaesthesiologists and those with whom they live and work.

Posted in: Guidelines & Standards > Safety 2019 Language: english

These standards are recommended for anaesthesia professionals throughout the world. They are intended to provide guidance and assistance to anaesthesia professionals, their professional societies, hospital and facility administrators, and governments for improving and maintaining the quality and safety of anaesthesia care. They were adopted by the World Federation of Societies of Anaesthesiologists on the 13th June 1992, and revisions were ratified on 5th March 2008 and on 19th March 2010.