Essential issues of organization of the anesthesiology and resuscitation service

Abstract

Рresented was the current state of the anesthesiology and resuscitation service. Identified were the key performance indicators, which affect the quality and efficiency of the service at the present stage of healthcare reformation. Discussed was the question of developing standards of care in the field of intensive care.

Keywords

quality of intensive care / effectiveness of intensive care / expertise and standards in intensive care / staff composition

References

[1] Бунятян А.А., Выжигина М.А., Мещеряков А.В. Образовательный стандарт. - М.: ГЭОТАР-Мед, 2004. - 200 с.

[2] Рябов Г.А. Логика развития интенсивной терапии критических состояний // Анест. и реаним. - 1999. - №1. - С. 10-13.

[3] Хальфин Р.А., Путилова Л.В., Леонтьев С.Л. Система лицензирования и аккредитации медицинской и фармацевтической деятельности в Свердловской области. - Екатеринбург: Екатеринбург, 1998. - 84 с.

[4] Bombardier C. Research challenges; overview of epidemiological study design // J. Reumatol. - 1998. - Vol. 17. - P. 5-8.

[5] Brennan T.A. Incidence of adverse events and negligence in hospitalized patients // Engl. J. Med. - 1991. - Vol. 324. - P. 370-376.

[6] Cooper J.B. Anesthesia patient safety and risk. Refresher course lectures. - The Hague, 1992. - P. 401.

[7] Donabedian A. Quality assessment and assurance: unity of purpose, diversity of means // Inquiry. - 1988. - Vol. 25. - P. 173-192.

[8] Epstein R., Dexter F. Uncertainty in knowing the operating rooms in which cases were performed has little effect on operating room allocations or efficiency // Anesth. Analg. - 2002. - Vol. 95. - P. 1726-1730.

[9] Flabouris A., Seppelt I. Optimal interhospital transport system for the criticaly III. Yearbook of intensive care and emergency medicine ed. by J.-L. Vincent Springer. - Verlag: Berlin, 2001. - P. 647-661.

[10] Gemke R., Bonsel G., van Vught A. Effectiveness and efficiency of a dutch pediatric intensive care unit // Crit. Care Med. - 1994. - Vol. 22. - P. 1477-1484.

[11] Graf J., Graf C., Janssens U. Analysis of resource use and cost generating factors in a German medical intensive care unit // Intens. Care Med. - 2002. - Vol. 28. - P. 324-331.

[12] Keenan S., Dodek P. Intensive care unit admission has impact on long-term mortality // Chan. Crit. Care Med. - 2002. - Vol. 30. - P. 501-507.

[13] McLean R., Tarshis J., Mazer D. Death in two Canadian intensive care units // Crit. Care Med. - 2000. - Vol. 28. - P. 100-103.

[14] Ridley S., Chrispin P., Scotton H. Changes in quality of life after intensive care // Anaesthesia. - 1997. - Vol. 52. - P. 195-202.

[15] Stenhouse C.W., Bion J.F. Outreach: a hospital-wide approach to critical illness. In: Yearbook of intensive care and emergency medicine 2001, ed. by J.-L. - Vincent Springer-Verlag. Berlin, 2001. - P. 661-675.

[16] Understanding costs and cost-effectiveness in critical care. Report from the second American thoracic society. Workshop on outcome research // Am. J. Respir. Crit. Care Med. - 2002. - Vol. 165. - P. 4.

[17] Wilson R.M. The quality in Australian health care study // Med. J. Aust. - 1995. - Vol. 163. - P. 458-471.

[18] Zbinden A. Introducing a balanced scorecard management system in a University anesthesiology department // Anesth. Analg. - 2002. - Vol. 95. - P. 1731-1738.

RIGHTS & PERMISSIONS

Davydova V.R., Khuzikhanov F.V.