麻醉安全与质控2017，Vol.1Issue(2)：71-76,6.
中国麻醉质量与患者安全调查
A survey of anesthesia quality and patient safety in China
朱斌 1汪云飞 2周祥勇 3高欢 4黄建宏5
作者信息
- 1. 北京大学国际医院麻醉科,北京 102206
- 2. 武汉市第一医院麻醉科,湖北 武汉 430000
- 3. 浙江大学医学院附属第二医院麻醉科,浙江 杭州 310000
- 4. 河南省方城县人民医院麻醉科,河南 南阳 473200
- 5. 美国中佛罗里达大学医院麻醉科,美国 佛罗里达州 32789
- 折叠
摘要
Abstract
Objective To evaluate status of anesthesia quality and patient safety in China.Methods A questionnaire, concerning anesthesia staffing, preoperative evaluation, perioperative anesthesia monitoring, postoperative anesthesia monitoring, anesthesia incident reporting system, and anesthesia quality administration, was delivered through New Youth Anesthesia Forum to every member from March, 2016 to April, 2016.The respondents could complete the survey via mobile device or desktop with each IP address for only one questionnaire.Results A total of 8546 members read questionnaire invitations.Of them, 3647 respondents fully completed questionnaires, which represented an overall response rate of 43%.72.3% of the respondents reported the shortage of anesthesia providers, 78.3% reported the routine preoperative anesthesia assessment, and 69.2% reported routine preoperative airway evaluation.33.5% of the respondents admitted that more than half of the preoperative anesthesia assessments were performed in the operation room.Only 78.9% of the respondents reported that selective surgery patients had strictly followed NPO guideline.77.9% of the respondents reported the routine continuous electrocardiographic monitoring in all patients;while 99% reported the routine pulse oxygen saturation monitoring.Only 55% of the respondents reported that they routinely used end tidal carbon dioxide (ETCO2) monitoring for their patients under general anesthesia.30.3% of the respondents reported that their PACU was staffed with anesthesiologists based on the number of PACU beds, while 37.1% reported that they did not have PACU in their hospitals.43.6% reported that their PACU was equipped with code carts.48.4% of the respondents reported that they had specical pain management team for postoperative pain management.95% of the respondents believed that anesthesia incidents reporting systems could improve the patient safety.But only 42.3% of the respondents reported that their departments had anesthesia incidents reporting system.36.4% reported that they had the reporting system but without any implementation.Only 22.6% of the respondents reported that they had web-based anesthesia incidents reporting system.2.9% of the respondents reported that they did not use the surgical safety checklists.40.6% reported partial implementation and 56.5% reported complete implementation.Conclusion This is the first anesthesia quality survey in China.This survey revealed potential anesthesia safety issues in China.The results can serve as a benchmark for future studies about anesthesia quality and patient safety improvement in China.The evidence can help government health policy makers and hospital administers understand the challenges and develop a series of strategies to improve anesthesia patient safety.关键词
麻醉/质量/安全/麻醉后恢复室/急性疼痛服务Key words
anesthesia/quality/safety/post-anesthesia care unit/acute pain service引用本文复制引用
朱斌,汪云飞,周祥勇,高欢,黄建宏..中国麻醉质量与患者安全调查[J].麻醉安全与质控,2017,1(2):71-76,6.
