Introduction - Safety Flashcards
What is the most important core value of the AANA Professional Standards?
Patient safety
In anesthesia safety history, what has lead to its present success?
- Better patient monitoring - pulse oximetry
- An early focus of studying malpractice cases to investigating near misses and an emphasis on prevention
- Adoption of practice guidelines
- Anesthesia Patient Safety Foundation (APSF)
What is the AANA motto?
Safe and Effective Anesthesia Care
What defines safe anesthesia care?
Maintain physiological homeostasis as you get patient through a surgical event - Anesthesia is not curative in nature
What is the biggest anesthesia safety goal?
Prevention of Patient Harm
What are the APSF critical Anesthesia Requirements?
- Reliable delivery of oxygen at any appropriate concentration up to 100%
- Reliable means of positive pressure ventilation
- Backup ventilation equipment available and functioning
- Controlled release of positive pressure in the breathing circuit
- Anesthesia vapor delivery (if intended as part of the anesthetic plan)
- Adequate suction
- Means to conform to standards for patient monitoring
What is Bair’s addition to APSF Requirements?
Means to perform adult and pediatric Advanced Cardia Life Support (ACLS, PALS)
What are the AANA Patient Monitoring Standard IV?
- Monitor oxygenation continuously
- Monitor cardiovascular status continuously
- Monitor body temperature continuously
- Monitor and assess patient positioning
Anesthesia safety publications focus on:
near misses, and emphasizing prevention of future incidents
Anesthesia safety History - Anesthesia mortality rates had decreased from 2 deaths per 10,000 anesthetics in the 1980s to…
1 death per 200,000-300,000 in the 1990s
- The pulse oximeter was developed and lead to this improvement
- Also had a shift in studying practice issues and near misses
What is considered you lifesaver as an anesthesia provider?
Manual Ventilation Device
