Preventing and managing critical incidents in anaesthesia...is it all too complex?
Increasing medical knowledge, better technology like ventilators with sophisticated functions, standardised procedures and well-trained medical staff – this is anaesthesia today. However, this is just one side of the coin. Time pressure, high workload, increasing paperwork, older and sicker patients, difficult techniques and knowlegdge that increases exponentially in a complex environment are the other side of the story .
Though mortality due to anaesthesia has declined, critical events still occur with serious consequences for patients, families, clinical staff and organisations.
- How can the staff working in anaesthesia be supported in this complex environment?
- What kind of tools are already available to keep track of the developments?
- Do we need a new safety culture?
Read on to learn more about how the complexity of the anesthesia work environment impacts patient safety, current approaches to dealing with this challenging situation, and how technology can help.
Safe but complex?
While anaesthesia associated mortality has declined remarkedly over the last decades, the number of critical incidents is still significant. But why is it so difficult to control the occurrence of perioperative critical events? Anaesthesia is not just complicated, but highly complex and tightly coupled.
Concepts for today and tomorrow
Helpful tools to answer this challenge
Standards and guidelines provide relevant information for the best treatment options to reduce outdated and inefficient practice. While standards are criteria established by authority that result in best outcomes, guidelines are “practical helpers” that explain how to perform a task. Guidelines and cognitive aids offer the possibility to bundle this enormous amount of knowledge and provide it to clinicians.
All these aids are valuable tools in keeping track of the high demands in healthcare management, and current movements are aimed at integrating the complex dynamic processes. But they are no “silver bullet” when it comes to handling complexity.
Is there actually something like a “silver bullet” for patient safety? It will be clear to everyone that this can only be a rhetorical question. Download the PDF to learn more about what impact e.g. critical incidence reporting systems and simulation training may have in this context
How technology can aid in managing complexity
Focusing on Patient Safety
Watch the clinical lectures held at the Dräger Satellite Symposium at Euroanaesthesia 2021. Focus was on how assistance system can help improve patient safety in anaesthesia.
Technologies to improve patient safety in the OR
Updated ISO 80601-2-13 - Reducing the risk of potentially fatal hose mismatches
In recent years, an increasing number of serious cases of misconnected patient ventilation hoses have been reported in Germany and other European countries. Even though this problem occurs rarely we must try to avoid it. The upcoming ISO 80601-2-13 implements new technical controls that aim at minimising the risk for hose misconnections. This will affect hospitals in all countries in which this standard is effective.