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Category: Safety

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: Guidelines & Standards > Anaesthesia 2019 Language: chinese

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.

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

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.

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.

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

The WFSA and the International Committee of the Red Cross (ICRC) are working together to ensure safe anaesthesia for patients admitted to ICRC facilities. The partnership aims to create an anaesthesia forum for questions from the field, update ICRC's clinical protocols, course material and field sets, and establish mechanisms for the deployment of qualified anaesthesiologists. Amongst the first products worked on by the ICRC-WFSA Liaison Group is the ICRC's Anaesthesia Handbook which provides invaluable guidance for anaesthesia providers working in austere environments.

Posted in: ATOTW > Intensive Care Medicine 2019 Language: english

Infective encephalitis is the acute, usually viral, infective inflammation of the brain parenchyma. A few patients will develop a severe manifestation and may deteriorate and require organ support. A low index of clinical suspicion and prompt antimicrobial treatment is crucial for the best chance of recovery without a disability. Management in the critical care setting focuses on treating the primary pathology whilst preventing secondary brain injury.

Posted in: ATOTW > Regional Anaesthesia 2019 Language: english

The use of perineural catheter could provide prolonged pain relief after major surgeries. The following tutorial covers the indications, techniques and the post operative management of patients with these catheters. Particular emphasis is on the safety aspect while the catheters are sited with strict aseptic precautions and clear instructions to prevent any complications.

Posted in: ATOTW > Anaesthesia 2019 Language: english

ARDS is a syndrome of hypoxaemic respiratory failure associated with non-cardiogenic pulmonary oedema which occurs in 10% of ICU patients. ARDS is often associated with multiple organ dysfunction and carries a high mortality, morbidity and financial cost. Due to its prevalence in the critical care patient population, it is important for physicians to understand some principles of management that may help reduce the mortality and morbidity of the syndrome.

Posted in: UIA > Obstetric Anaesthesia 2019 Language: english

Postpartum hemorrhage remains the leading cause of maternal mortality and morbidity. Oxytocic drugs are the main stay in prevention as well as treatment. Oxytocin remains the drug of choice

Posted in: UIA > Obstetric Anaesthesia 2019 Language: english

Deaths of babies in the first 28 days of life in resource-limited countries can be significantly reduced with a small number of low-tech interventions. This article summarises the core equipment and skills needed for the resuscitation of newborns where equipment is limited and skilled paediatric support is not available.