Helsinki Declaration on Patient Safety in Anesthesiology

The Helsinki Declaration on Patient Safety in Anaesthesiology Helsinki Declaration on Patient Safety in Anaesthesiology was carried out according to the Declaration of Helsinki in Helsinki from the European Board of Anaesthesiology  (EBA) and the European Society of Anaesthesiology  (ESA) to improve patient safety published.

history

Signing of the Helsinki Declaration during the opening event of the Euroanaesthesia Congress in Helsinki, Finland on Saturday, June 12, 2010: Hugo Karel Van Aken (Chairman NASC), Jannicke Mellin-Olsen (President EBA), Paolo Pelosi (President ESA).

Representatives of the European Society of Anaesthesiology, European Board of Anaesthesiology, the World Health Organization and the European Patients' Forum

The declaration was prepared jointly by the two most important anesthesiological organizations in Europe, EBA and ESA. It aims to help improve the safety of patient care in anesthesiology and related medical fields such as perioperative care , intensive care , pain management and emergency medicine across Europe.

From June 2009, the EBA patient safety subcommittee consulted and involved many individuals and representatives of the respective national societies in the preparation and development of this declaration. The ESA sub-committees on Evidence-Based Practice and Quality Improvement and Patient Safety were involved from the start. The first draft was discussed in a meeting in London with representatives from all over Europe in November 2009. Following this, it was completed by involving all EBA representatives as well as the ESA Board of Directors. The declaration in its current form is the result of a consensus between the ESA Board of Directors and the EBA.

The paper was officially launched at the Euroanaesthesia Congress in Helsinki in June 2010 and was subsequently signed by several representatives of European anesthesiology and other stakeholders, such as the World Health Organization (WHO), World Federation of Societies of Anesthesiologists (WFSA), European Patients Forum (EPF) . The EBA and ESA have established a Patient Safety Task Force to continue this work.

Principles and goals

The aim is to further reduce errors in anesthesia.

The statement is based on previous statements about the safety and quality of care. It represents a common European agreement on what needs to be done to improve patient safety in anesthesia in 2010. The statement recommends practical steps that all anesthesiologists should follow. These are relatively straightforward. All European anesthesiology institutions are expected to support the WHO Safe Surgery Saves Lives initiative, including the WHO Surgical Safety Checklist . This has demonstrably contributed to improving patient safety.

All facilities that are involved in anesthesiological care in Europe should comply with the minimum standard for safety and quality in anesthesia. You should have the instructions to master the following:

• Review of equipment and medicines
• Preoperative examination and preparation
• Stickers to label syringes after ISO 26825 / 20071
• Difficult or unsuccessful / impossible intubation
• Malignant hyperthermia
• Anaphylaxis
• Intoxication by local anesthetics
• Heavy bleeding
• Infection control / hygiene
• Postoperative monitoring including pain therapy

literature

• A Gottschalk, H Van Aken, M Zenz, T Standl: Is anesthesia dangerous? In: Dtsch Arztebl Int , 2011, 108 (27), pp. 469–474, doi: 10.3238 / arztebl.2011.0469 , PMID 21814522
• DK Whitaker, G Brattebo, AF Smith, SE. Staender: The Helsinki Declaration on Patient Safety in Anaesthesiology: putting words into practice . In: Best Pract Res Clin Anaesthesiol. , 2011 Jun, 25 (2), pp. 277-290, doi: 10.1016 / j.bpa.2011.02.001 , PMID 21550551
• F Petrini, M Solca, E De Robertis, VA Peduto, A Pasetto, G Conti, M Antonelli, P Pelosi: The Helsinki Declaration on Patient Safety in Anesthesiology: a way forward with the European Board and the European Society of Anesthesiology . In: Minerva Anestesiol. , 2010 Nov, 76 (11), pp. 971-977, PMID 21102394

Web links

• Helsinki Declaration on Patient Safety in Anesthesiology . (PDF; 21.7 kB) patientensicherheit-ains.de (German)
• Helsinki Declaration on Patient Safety in Anesthesiology . patientensicherheit-ains.de
• DAC: An Internet portal improves the security of the anesthesia . pflegeportal.ch (for implementation by the German DGAI and BDA)
• euroanesthesia.org

Individual evidence

1. ↑ euroanesthesia.org
2. ↑ J. Reason: Human Error . Cambridge University Press, Cambridge 1990.
3. ^ AB Haynes: A surgical safety checklist to reduce morbidity and mortality in a global population . In: N Engl J Med . 360, No. 5, January 2009, pp. 491-499. doi : 10.1056 / NEJMsa0810119 . PMID 19144931 .
4. ^ TG Weiser: Effect of a 19-item surgical safety checklist during urgent operations in a global patient population . In: Ann Surg . 251, No. 5, May 2010, pp. 976-980. doi : 10.1097 / SLA.0b013e3181d970e3 . PMID 20395848 .
5. ↑ Recommendation color coding  ( page no longer available , search in web archives )  Info: The link was automatically marked as defective. Please check the link according to the instructions and then remove this notice. (PDF; 339 kB) dgai.de