TY - CHAP M1 - Book, Section TI - Safety and Quality: The Guiding Principles of Patient-Centered Care A1 - Pian-Smith, May C. M. A1 - Kamdar, Nirav A1 - Longnecker, David E. A1 - Cooper, Jeffrey B. A2 - Longnecker, David E. A2 - Mackey, Sean C. A2 - Newman, Mark F. A2 - Sandberg, Warren S. A2 - Zapol, Warren M. PY - 2017 T2 - Anesthesiology, 3e AB - KEY POINTSThe patient should be the focus of anesthesia care.The goal of anesthesia care must be to ensure that no patient is harmed.Preventing harm is challenging because care is complex and serious adverse events are relatively rare and often the result of many causes rather than a single one.Weaknesses in “the system” are often the source of serious adverse events that are sometimes attributed to clinical incompetence.Vigilance alone is not enough; a strategy of error prevention is required to prevent harm.Organizations, departments, and groups must use a top-down, integrated approach and a commitment to creating a safe environment and system for safety.Safety must be the first priority to create an organization that operates at the highest level of reliability.Anesthesia professionals must employ a broad array of safety tactics as a foundation for their anesthesia practice.Teamwork and communication among the perioperative caregivers are critical components of patient safety.High-quality, safe anesthesia practice also requires a proactive, forward-looking approach that identifies successes and disseminates their characteristics widely to ensure resilience in the system. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1144110979 ER -