DRAFT OF THE PILOT VERSION OF THE INCIDENT-MONITORING AND REPORTING SYSTEM FOR THE ANESTHESIOLOGY SERVICE OF UKRAINE

Fedosiuk R. M., Kovalova O. M.

SOCIAL MEDICINE AND ORGANIZATION OF HEALTHCARE PROTECTION

Scentific article

The unfavourable statistics of medical errors and adverse events in healthcare have raised the patient safety issue into the focus of attention of governments and the public in all civilized countries of the world and led to the development and implementation of numerous strategies and tools to overcome the problem. From the very beginning, the international professional organizations of anesthesiologists have become the undisputed leaders of the global movement for patient safety. Their main initiative in this issue, «The Helsinki Declaration on Patient Safety in Anesthesiology», identified incident reporting as one of the main tools for improving patient safety in anesthetic practice. Goal. On the basis of foreign prototypes, to develop a draft of our own, adapted to domestic conditions, pilot version of incident-monitoring and reporting system for the anesthesiology service of Ukraine. Object and methods. The USA Agency’s for Healthcare Research and Quality (AHRQ) common formats for incident-monitoring and reporting in anesthesiology and surgery have been selected as the foreign prototypes. Results. The paper version of the incident-monitoring and reporting system in anesthetic practice adapted to the national conditions as well as the needs of the anesthesiology service of Ukraine has been developed. Designed as an «Attachment on Patient Safety to the Anesthesia Chart», it consists of five interconnected forms intended for the prospective registration of different groups of perioperative incidents – general information about patients and adverse events, incidents directly related to operation and anesthesia, incidents with medical devices, medication incidents, and incidents related to blood and blood products. Conclusion. The version of the incident-monitoring and reporting system presented in the work can be used as a pilot project and a test implementation model in the anesthesiology service of Ukraine as well as become a prototype for future interdisciplinary nationwide systems.

patient safety, anesthesiology, adverse event, tool, incident reporting system

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«Bulletin of problems biology and medicine» Issue 2 (144), 2018 year, 347-352 pages, index UDK 614.88.001.13:614.21:616-036.882-08(477)

10.29254/2077-4214-2018-2-144-347-352