Helsinki Declaration

Principal requirements

Today we pledge to join with the European Board of Anaesthesiology (EBA) in declaring the following aims for improving Patient Safety in Europe. Close cooperation between European organisations will be required to achieve these goals, for which the input and efforts of the European Society of Anaesthesiology (ESA) will be instrumental:

  1. All institutions providing perioperative anaesthesia care to patients (in Europe) should comply with the minimum standards of monitoring recommended by the EBA both in operating theatres and in recovery areas.
  2. All such institutions should have protocols and the necessary facilities for managing the following Preoperative assessment and preparation
    • Checking Equipment and drugs
    • Syringe labelling
    • Difficult/failed intubation
    • Malignant hyperpyrexia
    • Anaphylaxis
    • Local anaesthetic toxicity
    • Massive haemorrhage
    • Infection control
    • Postoperative care including pain relief
  3. All institutions providing sedation to patients must comply with anaesthesiology recognised sedation standards for safe practice.
  4. All institutions should support the WHO Safe Surgery Saves Lives initiative and Checklist.
  5. All departments of anaesthesiology in Europe must be able to produce an annual report of measures taken and results obtained in improving patient safety locally.
  6. All institutions providing anaesthesiological care to patients must collect the required data to be able to produce an annual report on patient morbidity and mortality.
  7. All institutions providing anaesthesiological care to patients must contribute to the recognised national or other major audits of safe practice and critical incident reporting systems. Resources must be provided to achieve this.

Reference