This was the topic of an instructional course lecture at this year's AAOS meeting. The theme is that surgical safety is essential to provision of optimal orthopaedic care in all orthopaedic settings.
The authors presented six critical elements of surgical safety based upon analysis of surgical errors:
1. Surgeon, Surgical Team and Patient Communication,
2. Surgical Consent,
3. Surgical Side/Site/Procedure/Level/implant/Patient Confirmation,
4. Surgical Team Concentration,
5. Surgical Process Consistency and
6. Systematic Surgical Data Collection and Analysis.
Comment: we heartily agree.
With respect to #1, we have a beginning of the day huddle with the anesthesiologist, the nurses, and the members of the surgical team to review each case, including all special medical and surgical issues as well as the need for instruments, intraoperative monitoring, recovery and discharge planning.
With respect to #2, we endeavor to provide patients with detailed explanations of the condition being treated, the alternatives in management, and the major risks
With respect to #3, we have multiple 'check points' to assure the patient's identity, side and site, and procedure.
With respect to #4, we do not allow distracting music or conversation about other matters during the course of surgery.
With respect to #5, we have standardized our plans of care for each procedure
With respect to #6, we carefully review any/all deviations from the expected post-operative course.
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Comment: we heartily agree.
With respect to #1, we have a beginning of the day huddle with the anesthesiologist, the nurses, and the members of the surgical team to review each case, including all special medical and surgical issues as well as the need for instruments, intraoperative monitoring, recovery and discharge planning.
With respect to #2, we endeavor to provide patients with detailed explanations of the condition being treated, the alternatives in management, and the major risks
With respect to #3, we have multiple 'check points' to assure the patient's identity, side and site, and procedure.
With respect to #4, we do not allow distracting music or conversation about other matters during the course of surgery.
With respect to #5, we have standardized our plans of care for each procedure
With respect to #6, we carefully review any/all deviations from the expected post-operative course.
===
Check out the new Shoulder Arthritis Book - click here.
Click here to see the new Rotator Cuff Book
Consultation for those who live a distance away from Seattle.
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You may be interested in some of our most visited web pages including:shoulder arthritis, total shoulder, ream and run, reverse total shoulder, CTA arthroplasty, and rotator cuff surgery as well as the 'ream and run essentials'
