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Better communication between surgery and anesthesia may provide safer surgery: The exchange of information has been mapped within the framwork of "Safe abdominal surgery"
Skånes universitetssjukhus, Lund, Sverige.
Skånes universitetssjukhus, Lund, Sverige.
Örebro University, School of Medical Sciences. Kirurgi, Universitetssjukhuset, Örebro, Sverige.ORCID iD: 0000-0003-2636-4745
Sahlgrenska universitetssjukhuset, Göteborg, Sverige.
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2015 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, no 112:DITTArticle in journal (Refereed) Published
Abstract [sv]

Problem i kommunikation mellan företrädare för kirurgi och anestesi äventyrar ofta säkerheten vid bukkirurgi.

För att hitta strategier för förbättrad säkerhet har Landstingens ömsesidiga försäkringsbolag (LÖF) startat projektet »Säker bukkirurgi«.

Inom ramen för Säker bukkirurgi har rutinerna kring informationsutbyte mellan kirurgi och anestesi kartlagts på 17 enheter under 2011–2013.

I en retrospektiv semikvantitativ genomgång av revisionsrapporterna har systematiskt återkommande problem och brister identifierats.

Till de åtgärder som skulle kunna leda till förbättrad säkerhet noterades bl a förtydligande av ASA-klassifikationen, konsekvent användning av hälsodeklaration, tydligare inskrivningsjournaler och gemensamma journalsystem i hela vårdkedjan.

Förslagen berör konkreta åtgärder som skulle kunna förbättra patientsäkerheten men som behöver utvärderas i fortsatta studier.

Abstract [en]

Poor communication between surgical and anesthesia unit personnel may jeopardize patient safety.  Review reports from a national survey on patient safety performed at 17 units 2011-2013 were analyzed in order to identify strategies to reduce risks related to the interaction between surgery and anesthesia. The reports were reviewed in this study by an independent group in order to extract findings related to communication between anesthesia and surgical unit personnel. Suggested strategies to improve patient safety included: uniform national health declaration forms; consistent use of admission notes; uniform systems for documenting medical information; multidisciplinary forum for evaluation of high-risk patients; weekly and daily scheduling of surgical programs; application of the WHO check list; open dialog during surgery; oral and written reports from the surgeon to the postoperative unit; and combined mortality and morbidity conferences.

Place, publisher, year, edition, pages
2015. no 112:DITT
National Category
Surgery
Identifiers
URN: urn:nbn:se:oru:diva-63781OAI: oai:DiVA.org:oru-63781DiVA, id: diva2:1170373
Available from: 2018-01-03 Created: 2018-01-03 Last updated: 2018-02-01Bibliographically approved

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Ljungqvist, Olle

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