MORTALITY ASSOCIATED WITH ANESTHESIA - A CASE REVIEW STUDY

被引：54

作者：

GANNON, K

机构：

[1] London, E1 2AD, Turner Street

来源：

ANAESTHESIA | 1991年 / 46卷 / 11期

关键词：

COMPLICATIONS; DEATH; MEDICOLEGAL; ANESTHESIA; AUDIT;

D O I：

10.1111/j.1365-2044.1991.tb09859.x

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

The review is based on an analysis of anonymous case record material at the Medical Protection Society's London Office for the 5‐year period 1982–1986, in which death was associated with anaesthetic procedures. A total of 25 cases were analysed. The principal events which resulted in death were failed intubation, drug‐related problems and problems with equipment. The principal contributory factors were inadequate supervision, inadequate pre‐operative assessment and failure of communication. The present review suggests that supervision and training of junior staff, decision‐making by senior staff and patterns of communication both within and between specialities are areas which should be selected for further research. Copyright © 1991, Wiley Blackwell. All rights reserved

引用

页码：962 / 966

页数：5

共 33 条

[21] PRACTICE STANDARDS - THE MIDAS TOUCH OR THE EMPERORS NEW CLOTHES [J].

ORKIN, FK .

ANESTHESIOLOGY, 1989, 70 (04) :567-571

[22]

Schon DA., 1988, PROFESSIONAL JUDGMEN, P60

[23]

SHAW C, 1989, MED AUDIT HOSPITAL H

[24]

SIMANOWITZ A, 1985, LANCET, V2, P546

[25]

Vincent C A, 1990, Int J Risk Saf Med, V1, P207, DOI 10.3233/JRS-1990-1303

[26] RESEARCH INTO MEDICAL ACCIDENTS - A CASE OF NEGLIGENCE [J].

VINCENT, CA .

BMJ-BRITISH MEDICAL JOURNAL, 1989, 299 (6708) :1150-1153

[27]

1989, 6 SEC STAT HLTH MED

[28]

1987, ANAESTHETIC SERVICES

[29]

1986, REPORT CONFIDENTIAL

[30]

1989, MED AUDIT

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