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JCAHO Issues Alert
The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) issued an alert on Oct. 6 cautioning health care providers about the dangers of “anesthesia awareness.” The organization asserts that tens of thousands of patients undergoing surgery each year remain partially awake while under general anesthesia during surgery, but are unable to communicate this problem to their caregivers. JCAHO's alert aims to make health care providers more aware of this phenomenon so that they can reduce the risks of its occurrence and better support patients when it does happen.
The problem of anesthesia awareness affects an estimated 20,000 to 40,000 patients each year, with cardiac, obstetric and major trauma patients being at higher risk, according to the JCAHO. “Anesthesia awareness is under-recognized and under-treated in health care organizations,” says Dennis S. O'Leary, MD, president, Joint Commission. “The Joint Commission understands that anesthesia professionals must balance the psychological risks of anesthesia awareness against the physiological risks of excessive anesthesia. This alert is intended to help health care organizations address this problem in an open and constructive fashion.”
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