Patient safety and the role of the Helsinki Declaration on Patient Safety in Anaesthesiology

Wu, Henry H. L.; Lewis, Sharon R; Čikkelová, Mirka; Wacker, Jürgen; Smith, Andrew F

doi:10.1097/eja.0000000000001043

Cited by 14 publications

(11 citation statements)

References 28 publications

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“…Other authors have analysed Helsinki declaration implementation in European countries, members of European society of anesthesiology (ESA) [5]. Basic monitoring, as recommended by WHO standards, was widely used in hospitals that participated in the survey.…”

Section: Discussionmentioning

confidence: 99%

“…Authors report that 90% of respondents "always" or "sometimes" use WHO Safe Surgery checklist [5]. In Ukraine, this checklist is "always" or "sometimes" used by 37.4% of respondents.…”

Section: Discussionmentioning

confidence: 99%

“…Despite the widespread acceptance of high-level principles, there is still some uncertainty about their application and impact in practice [4]. In particular, the 2019 study "Patient safety and the role of the Helsinki Declaration on Patient Safety in Anesthesiology" in 38 European countries [5] showed that despite the generally good level of implementation of the recommendations, there is still a lot of room for improvement in some areas.…”

Section: Introductionmentioning

confidence: 99%

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Patient safety during anesthesia in Ukraine: national audit results

et al. 2022

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Background Although anesthesiologists are one of the leaders in patient safety, anesthesia in low and low-middle income countries still need improvement in safety mesures with evidence-based practice application. The study aim was to audit the safety principles implementation in the Ukrainian anesthesiologist`s practice. Methods The study was held in March 2021-Februrary 2022 by filling out an online questionnarie. The link to the survey was distributed through Ukrainian Anesthesiologists Association (UAA) members emails and also published on UAA webpage and facebook page. The email was sent to 1000 UAA members. Results Summary 210 respondents took part in the study. Among the respondents, 79.1% of respondents are aware of the Helsinki Declaration on Patient Safety in Anesthesiology, but only 40,3% declared that the principles of this Declaration had been implemented in their medical institutions. Even though most of the respondents declared that the quality of the work has improved with the application of the Helsinki Declaration, 16% stated, that there is no positive impact. Most of the medical institutions include mandatory perioperative monitoring, while 17% of hospitals have no access to pulse oximetry for all patients in the operating room and intensive care unit. Concerning using clinical protocols, the one on the treatment of massive bleeding is used in 60.3% of cases, on infection control in 60.5%. In relation to checklists, 28.2% of respondents have never heard about the WHO Safe Surgery checklist. Checklists for equipment inspection are used in only 27.8% of medical institutions. 72.8% hospitals keep records of anaesthesia complications. Conclusion The study showed that significant positive steps are being taken to improve patient safety in Ukraine, where most hospitals comply with the minimum standarts of monitoring during anesthesia. Although there are many challenges for improvement, more hospitals need to implement WHO Safe Surgery and equipment checklists, protocols etc. These areas are a priority for further development in Ukraine. Trial registration Clinicaltrials.gov NCT05175976 on 04/01/2022.

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Section: Discussionmentioning

confidence: 99%

“…Authors report that 90% of respondents "always" or "sometimes" use WHO Safe Surgery checklist [5]. In Ukraine, this checklist is "always" or "sometimes" used by 37.4% of respondents.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Patient safety during anesthesia in Ukraine: national audit results

et al. 2022

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“…Some studies have evaluated the culture of patient safety across professions. [9], units [10], hospitals [11], and countries [12,13]. Many researchers in their own countries have measured patient safety culture in intensive care units (ICUs) [10].…”

Section: Introductionmentioning

confidence: 99%

Patient Safety Culture in Nurses in Karawang, Indonesia: A Cross-Sectional Study

Suryani

Letchmi

Said

2022

KLS

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Patient safety is crucial for health care quality and is one of the major parameters monitored by all health care organizations around the world. Nurses play a critical role in improving the quality of care and patient safety because they take care of patients for the full 24 hours and engage with families and other health professionals. Thus, this study aimed to identify patient safety culture and its associated factors among nurses in Karawang, Indonesia. This study was conducted using a cross-sectional design. It was estimated that 220 participants would be needed to have confidence in the results at a medium-effect size. A convenience sampling technique was applied to select participants. This study used the Hospital Survey on Patient Safety Culture questionnaire. Linear regression analyses were used to investigate the factors associated with patient safety culture. Most of the nurses (52.79%) had a nursing diploma and 7% had been married. Approximately 70% were nurses at the level 1 to 3 range. The mean score was 3.05 (SD = 1.43). The highest domains score was teamwork (4.03, SD = 1.76), and the lowest score was reporting patients’ safety events (2.21, SD = 1.43). Gender, education level, and working unit contributed significantly to the variance in patient safety culture and the R-squared was 28.8%. This study found that patient safety culture among nurses was moderate. Therefore, in order to improve patient safety, a training program for nurses is needed alongside strategies to improve professional communication. Keywords: patient safety, culture, nurses, Indonesia

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“…The Declaration of Helsinki as amended in June 2010 emphasized that all institutions providing anesthesia care to patients must contribute to the recognized national or other major audits of safe practice and to critical incident reporting systems [7]. In a 2019 European survey, 78.7% of responders stated that their hospital used a critical incident reporting system [8]. In the United Kingdom, a specialty-speci c incident reporting system for anesthesia was introduced in 2010 [9].…”

Section: Introductionmentioning

confidence: 99%

Composition and Risk Assessment of Perioperative Patient Safety Incidents Reported by Anesthesiologists from 2009 to 2019, a single-center retrospective cohort study

Zhang

Sun

et al. 2020

Preprint

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Background: Patient safety incident reporting has been an important means of improving patient safety and enhancing organizational quality control. Reports of anesthesia-related incidents are of great value for analysis to improve perioperative patient safety. However, the utilization of incident data is far from sufficient, especially in developing countries such as China.Methods: All patient safety incidents reported by anesthesiologists in a Chinese academic hospital between September 2009 and August 2019 were collected from the incident reporting system. We reviewed the freeform text reports, supplemented them with information from the patient medical record system. Composition analysis and risk assessment were performed.Results: In total, 847 patient safety incidents were voluntarily reported by anesthesiologists during the study period among 452,974 anesthetic procedures, with a reported incidence of 0.17%, much less than the incidence reported by some developed countries. Patients with worse ASA physical status were more vulnerable to suffering from PSIs. The most common type of incident was related to the airway (N=208, 27%), followed by cardio-cerebrovascular (N=99, 13%) and pharmacological incidents (N=79, 10%). Those preventable incidents with extreme or high risk were found out through risk assessment, to provide reference for the department to implement more standard operation procedures.Conclusions: This study describes characteristics of 847 patient safety incidents voluntarily reported by anesthesiologists within eleven years in a Chinese academic hospital. Airway incidents constitute the majority of incidents reported by anesthesiologists. Under-reporting is severe in China, and the importance of summarizing and utilizing anesthesia incident data should be scrutinized.

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Patient safety and the role of the Helsinki Declaration on Patient Safety in Anaesthesiology

Cited by 14 publications

References 28 publications

Patient safety during anesthesia in Ukraine: national audit results

Patient safety during anesthesia in Ukraine: national audit results

Patient Safety Culture in Nurses in Karawang, Indonesia: A Cross-Sectional Study

Composition and Risk Assessment of Perioperative Patient Safety Incidents Reported by Anesthesiologists from 2009 to 2019, a single-center retrospective cohort study

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