Document Detail


Planning safe anesthesia: The role of collective resources management.
MedLine Citation:
PMID:  22936055     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Objective: Anticipation and planning are essential steps of risk management but the mechanisms of planning behavior are incompletely understood, especially the factors including collective work. The aim of this research is to understand how anesthetists plan safe solution to perform anesthesia. Methods: A study based on interviews was conducted in two French hospitals. Data processing focused on the main decisions made by 20 anesthetists during two simulated pre-anesthetic consultation. The main decisions made have been identified and the decision criteria have been analyzed. Results: To ensure patient safety, all anesthetists do not plan the same solution. The rejection or the selection of solutions by each physician rests on two types of criteria: the assessment of risks for the patient and the assessment of resources available to handle the situation. For the latter, the knowledge on the individual skills of each and the adoption of "local benchmark practices" play an essential role. Conclusion: Ultra safe performance in highly variable systems cannot be achieved only through standardization but also through the possibility and ability of the subjects to adapt their practices to their own skills and to that of their colleagues. The conditions for the development of this "adaptative safety" are discussed.
Authors:
Lucie Cuvelier; Pierre Falzon; Jean-Claude Granry; Marie Christine Moll; Gilles Orliaguet
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The International journal of risk & safety in medicine     Volume:  24     ISSN:  1878-6847     ISO Abbreviation:  Int J Risk Saf Med     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-08-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9100907     Medline TA:  Int J Risk Saf Med     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  125-36     Citation Subset:  IM    
Affiliation:
Centre d'Etudes de l'Emploi (Cee), Noisy-le-Grand, France.
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