麻醉学科质量管理特点.pdfVIP

麻醉安全与质控（PerioperativeSafetyandQualityAssurance）2025,7（4）273

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麻醉学科质量管理特点

李天佐（首都医科大学附属北京世纪坛医院麻醉科，北京100038）

【摘要］麻醉学科作为临床医学的关键学科，是外科手术的必要条件，其在整体医疗系统中的被依赖性和临床价值越来越凸

显。麻醉学科的质量管理遵循医疗质量管理的一般规律，但其质量管理工作的难度和复杂性与其他学科显著不同。充分认识麻

醉学科质量管理的特点，才能在遵循质控一般原则基础上，针对性地构建麻醉质量管理体系，不断完善和优化科学可行的麻醉

质量管理方案。本文从麻醉在紧急救治中的重要性、麻醉医师个体临床能力要求、麻醉科安全与质量工作节奏、诊疗服务评估

面临的挑战、用药安全、患者术后恢复及小概率事件风险抵御几个方面阐述麻醉“安全”与“质量”两层意义，从而推动麻醉质

量管理的科学化与可持续发展。

【关键词］麻醉质量管理；医疗服务；麻醉前评估；患者安全

D0I:10.3969/j.issn.2096-2681.2025.04.001

Characteristicsofqualitymanagementinanesthesiology

LITianzuo

DepartmentofAnesthesiology,BeijingShijitanHospitalAffiliatedtoCapitalMedicalUniversity,Beijing100038,China

[Abstract]Asapivotaldisciplineinclinicalmedicine,anesthesiologyservesasanessentialprerequisiteforsurgicalprocedures,withits

irreplaceablepositionandincreasinglyprominentclinicalvalueinthehealthcaresystem.Whilethequalitycontrolofanesthesiologyad-

herestothegeneralprinciplesofmedicalqualitycontrol,thedifficultyandcomplexityofitsimplementationaresignificantlydifferentfrom

otherdisciplines.Onlythroughcomprehensiveunderstandingofthecharacteristicsofqualitycontrolinanesthesiologydisciplinecanwe

buildatargetedqualitycontrolsystem,andcontinuouslyrefinescientificallyfeasiblemanagementprotocolsbasedonthegeneralprinciples

ofqualitycontrol.Thisarticleelucidatesthedualdimensionsofsafety”and“quality”inanesthesiologythroughthefollowingaspects,

thecriticalroleofanesthesiologyinemergencycare,individualclinicalcompetencyrequirementsforanesthesiologists,workflowsafetyand

qualityassurance,challengesinclinicalserviceevaluation,medicationsafety,postoperativepatientrecovery,andriskmitigationoflow-

probabilityevents,therebyadvancingthescientificdevelopmentandsustainableenhancementofanesthesiaqualitymanagement.

[Keywords]ane