The Universal Protocol: Pitfalls and Pearls
Surgical “never-events” 1. Surgery performed on the wrong body part. 2. Surgery performed on the wrong patient. 3. Wrong surgical procedure performed on a patient. 4. Unintended retention of a…
Reporting of Complications
Fig. 22.1 Article accesses to the open-access journal Patient Safety in Surgery. The graph shows the growing number of accesses to articles published from the time of the journal’s launch…
Surgical Quality Improvement
SCIP-Inf-1 Prophylactic antibiotic received within 1 h prior to surgical incision SCIP-Inf-2 Prophylactic antibiotic selection for surgical patients SCIP-Inf-3 Prophylactic antibiotics discontinued within 24 h after surgery end time SCIP-Inf-4…
Electronic Health Records and Patient Safety
Some templates generate long lists of historical or physical findings that may have no conceivable relevance to a case, and just clutter the record with irrelevant nonsense (Box 19.8). A…
Professionalism in Health Care
(1) Department of Orthopaedic Trauma, University Hospital Aachen, 30 Pauwels street, Aachen, 52074, Germany KeywordsHealthcareProfessionalismAccountabilityOrthopedic surgeryEthics in health care Pitfalls and Pearls Physicians are required to be highly professional,…
Would You Defend This Complication?
1. Informed consent process 2. Appropriate indications 3. Preoperative measures taken 4. Technical performance 5. Timely recognition and rescue Case Scenario #1 John Doe is a 58 year old who…
The Nursing Perspective
Fig. 27.1 The nursing process. The five phases demonstrate a systematic approach the nurse utilizes in providing care. All nurses are taught this process and alignment with the nursing process…
The Anesthesia Perspective
© Springer-Verlag London 2014Philip F. Stahel and Cyril Mauffrey (eds.)Patient Safety in Surgery10.1007/978-1-4471-4369-7_26 26. The Anesthesia Perspective Kirk J. Hogan1 (1) Department of Anaesthesiology, University of Wisconsin School of Medicine, 600 Highland Avenue, Madison, WI 53792, USA …
Public Safety-Net Hospitals–The Denver Health Model
Fig. 18.1 Denver Health Medical Center As mentioned, Denver Health is a public, academic health system and Colorado’s principle safety-net institution. The system includes an emergency paramedic system; an acute…
Handovers: The ‘Hidden Threat’ to Patient Safety
Handover practice element Related theory Implications for education Information transfer Egocentric heuristic: doctors often do not communicate vital information at handover. It was not that they didn’t know what to…
