BIOETHICAL FOUNDATIONS OF PATIENT SAFETY IN SURGERY


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Abstract

The article presents the results of testing and practical effectiveness of elements of the new strategy bioethical subordinate application objectives improving patient safety in surgery for two different models of clinical research. The examples of the introduction of technology rapid recovery after surgery for colon cancer and protocol differentiated escalation prevention of venous thromboembolic events has been positive clinical effects, as expressed in the significant decrease in frequency and severity of postoperative complications and mortality in the main comparison groups. Marked correlation between the effectiveness of the proposed surgical approaches and the formation of qualitatively different models of integrative interaction between participants of the treatment process, with the creation of new forms of interdisciplinary collaboration between health professionals and by enhancing the role of the patient.

About the authors

S. S Maskin

Volgograd State Medical University

Email: maskins@bk.ru
Doctor of Medical Science,Professor, head of the Department of Hospital Surgery

A. M. Karsanov

North-Ossetian State Medical Academy; Railway Hospital at the station Vladikavkaz

Email: karsan@inbox.ru
hD (of medical Science), the assistant of Faculty of Surgical Diseases № 3 of North-Ossetian State Medical Academy; the doctor-oncologist of Railway Hospital at the station Vladikavkaz

D. S Lopasteysky

Volgograd State Medical University

Email: denlopas76@yandex.ru
PhD (of medical Science), the assistant of the Department of Hospital Surgery

I. P. Kokaev

Medical Center "Health "

Email: igorkokaev@yandex.ru
Head Vladikavkaz

References

  1. Безопасность пациента // пер. с англ. под ред. Е.Л. Никонова. - М.: ГЭОТАР-Медиа, 2010. - 184 с.
  2. Практическое руководство по использованию контрольного перечня ВОЗ по хирургической безопасности. Безопасная хирургия спасает жизни. 2009. - 20 с.
  3. Российские клинические рекомендации по диагностике, лечению и профилактике венозных тромбоэмболических осложнений // Флебология. - 2010. - № 1. - С. 2-37.
  4. Bergmann J.F., Cohen A.T., Tapson V.F. Goldhaber S.Z., Kakkar A.K., Deslandes B., Huang W., Anderson F.A. Jr. Venous thromboembolism risk and prophylaxis in hospitalised medically ill patients. The ENDORSE Global Survey // Thromb. Haemost. -2010. Vol. 103, № 4. - P. 736-748.
  5. Bratzler D.W., Hunt D.R. The surgical infection prevention and surgical care improvement projects: national initiatives to improve outcomes for patients having surgery // Clin. Infect. Dis. - 2006. Vol. 43, № 3. - Р. 322-330.
  6. Cima R.R., Lackore K.A., Nehring S.A., Cassivi S.D., Donohue J.H., Deschamps C., Van Such M., Naessens J.M. How best to measure surgical quality? comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution // Surgery. - 2011. Vol. 150, № 5. - Р. 943949.
  7. Clarke J.R. The Use of Collaboration to Implement Evidence-Based Safe Practices // J. Public. Health Res. - 2013. Vol. 2, № 3. - Р. 26.
  8. Hall B.L., Hamilton B.H., Richards K., Bilimoria K.Y., Cohen M.E., Ko C.Y. Does surgical quality improve in the American College of Surgeons National Surgical Quality Improvement Program: an evaluation of all participating hospitals // Ann. Surg. - 2009. Vol. 250, № 3. - Р. 363-376.
  9. Kakkar A.K., Cohen A.T., Tapson V.F., Bergmann J.F., Goldhaber S.Z., Deslandes B., Huang W., Anderson F.A. Jr. Venous thromboembolism risk and prophylaxis in the acute care hospital setting (ENDORSE survey): findings in surgical patients // Ann. Surg. - 2010. Vol. 251, № 2. -Р. 330-338.
  10. Kehlet H., Wilmore D.W. Evidence-based surgical care and the evolution of fast-track surgery // Ann. Surg. - 2008. Vol. 248, № 2. - Р. 189-198.
  11. Rowell K.S., Turrentine F.E., Hutter M.H., Khuri S.F., Henderson W.G. Use of national surgical quality improvement program data as a catalyst for quality improvement // J. Am. Coll. Surg. - 2007. Vol. 204, № 6. - P. 1293-1300.

Copyright (c) 2014 Maskin S.S., Karsanov A.M., Lopasteysky D.S., Kokaev I.P.

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