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P266: Risk mapping the circuit of management of anaesthesia in obstetrics parturient to hospital Robert Debre

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Introduction

The optimal functioning of obstetric anesthesia circuit is a key element in the effectiveness of a hospital with a maternity activity since more than 80% of parturients benefits.

Objectives

To analyze dangerous situations that may prevent obstetric anesthesia circuit to ensure anesthetic management of the parturient in optimum safety conditions of care.

Methods

Based on the functional analysis, the preliminary risk analysis (PRA) is constructed in five steps: cutting functional circuit obstetric anesthesia, identification of dangerous events, hierarchy of feared events, ranking functions, establishment of recommendations to reduce or accept the risk.

Results

The RPA has identified 93 hazardous situations and 178 scenarios which 266 criticality scenarios to criticality C2 and 88 to criticality C3. They must be action and risk control management of the residual risk for 24 of them. The main causes are related to preventable medical risk (error identification, error in anesthetic management), managerial risk (insufficient personal, non-compliance with instructions) and organizational risk (work overload, insufficient recycling). They are generally human error related to: patient characteristics (clinical status, homonymy, psychological state), the incompleteness of medical records (clinical summary, organization, transmission), the lack of protocol or protocols inadequate (obstetric anesthesia protocols), the failure of safety barriers (consultations and pre-anesthetic visit) and the difficulty of coordination exacerbated by local architecture and buildings.

Conclusion

The use of this tool for risk management from industry can develop an approach to improving patient safety in obstetric anesthesia.

Author information

Correspondence to M Adeoti.

Additional information

Competing interests

None declared.

Rights and permissions

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Keywords

  • Ranking Function
  • Anesthetic Management
  • Dangerous Situation
  • Improve Patient Safety
  • Residual Risk