Anesthesia: Essays and Researches

REVIEW ARTICLE
Year
: 2019  |  Volume : 13  |  Issue : 2  |  Page : 193--198

Root cause analysis of blunders in anesthesia


Ayman Aly Rayan1, Sherif Essam Hemdan2, Ayman Mohamed Shetaia1 
1 Department of Anesthesia and Intensive Care, Faculty of Medicine, Menoufia University, Menoufia, Egypt
2 Department of Anesthesia and Intensive Care, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Correspondence Address:
Ayman Aly Rayan
Department of Anesthesia and Intensive Care, Faculty of Medicine, Menoufia University, Menoufia
Egypt

The frequency of blunders perioperative because of anesthesia is expanding, and the precise occurrence is significantly thought little of practically due to underreporting. Root cause analysis of majority of anesthesia errors due to lack of knowledge, unfollow the patient procedures and guidelines, medications errors and lack of communication between the members of anesthesia team leading to morbidity or even mortality. The cornerstone in the operating room environment is the communication, especially the patient's data are accumulated and changed continuously during a patient's anesthesia. Continuous attempts for establishing Iideal strategies to reduce the incidence and chance of anesthesia errors. The advancement of a nonaccuse condition where mistakes are transparently revealed and talked about, and guidelines for naming the medication holders, vials, and ampoules are focused. All endeavors ought to be made in the revealing and anticipation of medical drug errors. It is time to incorporate electronic and digital concepts to encourage the evolution of anesthesia-related drug delivery system.


How to cite this article:
Rayan AA, Hemdan SE, Shetaia AM. Root cause analysis of blunders in anesthesia.Anesth Essays Res 2019;13:193-198


How to cite this URL:
Rayan AA, Hemdan SE, Shetaia AM. Root cause analysis of blunders in anesthesia. Anesth Essays Res [serial online] 2019 [cited 2019 Aug 18 ];13:193-198
Available from: http://www.aeronline.org/article.asp?issn=0259-1162;year=2019;volume=13;issue=2;spage=193;epage=198;aulast=Rayan;type=0