Mu 2018, Dr David Whitaker za kufunikira kwa opareshoni yapadziko lonse ndi zopereka za ochititsa dzanzi pachitetezo cha odwala

Anesthesia: Kodi mungapereke mbiri yazomwe mumachita komanso momwe zimakhudzira chitetezo cha odwala ndi mankhwala?

David Whitaker: “Ndangopuma kumene pantchito zakuchipatala koma ndinali wodwala mankhwala oletsa ululu kwa zaka zoposa 40 ndikumachita opaleshoni ya mtima komanso chisamaliro cha anthu odwala mwakayakaya, ndipo ndidakhazikitsanso ntchito yopweteka kwambiri. Posachedwa pamsonkhano wa Patient Safety Movement Summit amalankhula za momwe amatenga nawo gawo pachitetezo cha odwala komanso kwa anthu ena, pakhala pali chochitika china, nthawi zina cholumikizidwa ndi mabanja awo, koma ndangowona zochitika zingapo pazaka zomwe ine amaganiza kuti zinthu zikadatheka. Nditasankhidwa kukhala bungwe la AAGBI, lomwe linali ndi njira yayitali yachitetezo cha wodwala, adakambirana za mitundu yama oxygen pamsonkhano wawo woyamba kale mu 1932, panali alangizi akulu akulu kumeneko omwe anali odziwa bwino kukonza chitetezo cha odwala komanso ndikukweza miyezo, motero ndinayamba kuchita nawo zambiri. ”

Ndi ntchito ziti zomwe mukugwira panthawiyi?

DW: “Panopa ndine Mpando wa ku Ulaya Board of Anaesthesiology (EBA) (UEMS) Patient Safety Committee ndipo mu 2010 ndinali wokondwa kuthandiza kupanga Chidziwitso cha Helsinki pa Chitetezo cha Odwala mu Anaesthesiology, chomwe chimakhudza mbali zonse za chitetezo cha odwala osati chitetezo cha mankhwala. Chidziwitso cha Helsinki tsopano chasayinidwa ndi mabungwe opitilira 200 okhudzana ndi opaleshoni padziko lonse lapansi ndipo ntchito ikupitiliza kulimbikitsa kukhazikitsidwa kwake kwakukulu.

Komanso kukhala m'Komiti Yachitetezo cha Odwala ya EBA, kale ndinali membala wa WFSA's Safety & Quality Committee kwa zaka 8 ndipo ndakhala ndi mwayi woyang'ana mmbuyo ndikuwona zosintha zomwe zachitika zaka zambiri. Kuwunika kwapangitsa kusiyana kwakukulu pakusintha zotsatira za odwala kuyambira ma 1980, koma tsopano ndawona chitetezo cha mankhwala ngati vuto lalikulu lotsatira la anesthesia.

Limodzi mwamavuto akulu akugwiritsabe ntchito ma ampoule azamankhwala pokonzekera jakisoni wodwala. Izi ndizovuta chifukwa ndizodzaza ndi zolakwika za anthu, chifukwa chake yankho labwino kwambiri ndikuthetsa kugwiritsa ntchito ma ampoules ndikukhala ndi mankhwala athu onse oletsa dzanzi m'majirinikeni oyikidwiratu. Anesthesia yatsala pang'ono kutukuka kumeneku ndi 4% yokha yamankhwala IV omwe amagwiritsidwa ntchito mu anesthesia omwe amaperekedwa mu PFS poyerekeza ndi opitilira 36% m'gawo losavutikira. Ngakhale Royal Pharmaceutical Society tsopano ikunena kuti mankhwala oletsa ululu ayenera kuperekedwa ngati okonzeka kupereka ngati kuli kotheka. Zikuchitika ku USA tsopano ndi ma dipatimenti yopitilira 1,000 yopanga mankhwala ogwiritsira ntchito ma syringe oyambira. Imagwira ntchito kumayiko omwe ali ndi chuma chambiri, koma ngati ndi ofanana ndi mayiko omwe ali ndi zinthu zochepa ndi funso losangalatsa. Mankhwala okwera mtengo a kachilombo ka HIV tsopano amapezeka kwambiri kumbuyo kwa ndale. Zogulitsa za PFS zimapewanso kuipitsidwa komwe kumatha kukhala kofunika kwambiri m'malo omwe kuchepa kwa njira kumakhala kovuta kukwaniritsa. Mamiliyoni a PFS okhala ndi katemera agwiritsidwa kale ntchito m'malo amenewa.

Dera lina lomwe ndikugwirapo ntchito ndilokhazikitsidwa ndi malo ogwiritsira ntchito ochititsa dzanzi / malo ogwiritsira ntchito mankhwala osokoneza bongo omwe ali ndi malo amtundu uliwonse wamankhwala / syringe. Kukhazikitsa malamulo ndi chida chachitetezo chachikulu ndipo kuli ndi phindu lina pamene oletsa ululu akugwira ntchito m'magulu, kapena atenga milandu, ndi umboni woti amachepetsa zolakwika zina zamankhwala zomwe zanenedwa. ”

Kodi mukuganiza kuti mavuto akulu ndi otani a anesthesia pachitetezo cha odwala pakadali pano (ku UK ndi mayiko omwe alibe chuma)?

DW: “Chitetezo cha mankhwala ndi vuto lalikulu kwambiri kwa mayiko omwe ali ndi chuma chambiri. Izi zavomerezedwa ndi World Health Organisation (WHO) yomwe yakhazikitsa njira yawo yachitatu ya Global Patient Safety Challenge, Medication yopanda Mavuto, yomwe cholinga chake ndikuchepetsa kuchuluka kwa mankhwala a iatrogenic ndi 50% mzaka zisanu. Mavuto am'mbuyomu akhala akusamba m'manja komanso mndandanda wa opareshoni yotetezeka, zomwe zasintha machitidwe padziko lonse lapansi.

SOURCE

WFSA Blog