Вестник анестезиологии и реаниматологии (Apr 2024)
Components, criteria and levels of the patient safety system of the Department of Anesthesiology and Intensive Care of a multidisciplinary hospital (message 1)
Abstract
The objective was to substantiate components, criteria and levels of the patient safety system of the Department of Anesthesiology and Intensive Care of a multidisciplinary hospital as the methodological basis for their subsequent practical assessment in the Russian Federation.Materials and methods. Content analysis of scientific literature (monographs and articles) on the problem of ensuring patient safety at the Department of Anesthesiology and Intensive Care of a multidisciplinary hospital. Determination of the initial list of criteria (indicators, factors) for ensuring patient safety at the Department of Anesthesiology and Intensive Care of a multidisciplinary hospitals, expert assessment of their significance with identification of the main one, including leading (main) criteria. Justification of the content characteristics of the leading criteria, as well as the levels of ensuring patient safety at the Department of Anesthesiology and Intensive Care of a multidisciplinary hospital. Expert assessment method. Statistical analysis of data distribution, ranking assessment of their significance.Results. It was established that 17 criteria (factors, indicators) are the main ones for ensuring patient safety at the Department of Anesthesiology and Intensive Care of a multidisciplinary hospital, of which five are leading (main) and the most informative. They comprehensively reflect one of the five levels of ensuring patient safety at the Department of Anesthesiology and Intensive Care of a multidisciplinary hospital.Conclusion. The system for ensuring patient safety at the Department of Anesthesiology and Intensive Care of a multidisciplinary hospital is multidimensional and dynamic (controllable), its state is characterized by 5 main (leading) components, which are the methodological basis for the practical assessment of one of five levels of the system and determining the directions for its change (control, correction).
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