RT Book, Section
A1 Butterworth IV, John F.
A1 Mackey, David C.
A1 Wasnick, John D.
SR Print(0)
ID 1190612039
T1 Safety, Quality, & Performance Improvement
T2 Morgan & Mikhail’s Clinical Anesthesiology, 7e
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781260473797
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1190612039
RD 2024/04/19
AB KEY  CONCEPTS  In  the  1980s,  anesthesiology  was  recognized  as  the  first  medical  specialty  to  adopt  mandatory  safety-related  clinical  practice  guidelines.  Adoption  of  these  guidelines,  which  described  standards  for  basic  monitoring  during  general  anesthesia,  was  associated  with  a  reduction  in  the  number  of  patients  experiencing  brain  damage  or  death  secondary  to  ventilation  mishaps  during  general  anesthesia.  In  1999  the  Institute  of  Medicine  of  the  (U.S.)  National  Academy  of  Sciences  summarized  available  safety  information  in  its  report,  To  Err  Is  Human:  Building  a  Safer  Healthcare  System,  which  highlighted  many  opportunities  for  improved  quality  and  safety.  It  has  long  been  recognized  that  quality  and  safety  are  closely  related  to  consistency  and  reduced  practice  variation.  In  manufacturing  and  in  medicine,  there  is  a  natural  tendency  to  assume  that  errors  can  be  prevented  by  better  education  or  better  management  of  individual  workers  (ie,  to  look  at  errors  as  individual  failures  made  by  individual  workers)  rather  than  as  failures  of  a  system  or  a  process.  To  reduce  errors,  one  changes  the  system  or  process  to  reduce  unwanted  variation  so  that  random  errors  are  less  likely.