The current status of the safety management in practices of cardiopulmonary bypass

--- Focus to the report of JaSECT safety survey 2013 ---

Abstract

We carried out a questionnaire about the incidents, accidents and safety of cardiopulmonary bypass and PCPS(include ECMO) in 2013, and we describe considerations about the current state of the safety control of cardiopulmonary bypass based on its questionnaire results.This questionnaire targeted the Cardiopulmonary bypass use cases in both of 2011 and 2012 and its response rate was 76.6%. (423 of 552 establishments replied.(The 70,015 cases (35,015 of them in 2011 and 37,000 in 2012) used Cardiopulmonary bypass during the period subject to the questionnaire. On the 1,323 cases of them, some events were occurred despite the levels of affects to the patients and its incidence was 1.8%.It is necessary to draw up checklists and double-check them for the risk management, and also it is important the proper method for using safety equipment.We need to turn to not only the accidents but also the incidents or potentially dangerous incidents and develop the strategies for them.We hope the questionnaire results will be taken advantage as the one of the consultations in order to prevent any incident and need to continue to take similar and further surveys in the future.