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Showing results for tags 'Surgeon'.
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Content ArticleHealthcare organisations are designed to achieve consistent and reproducible outcomes when faced with planned, predictable or ‘routine’ emergencies. Unfortunately, the more robust the system, the less agile it is when faced with a novel clinical crisis. This is not surprising, as it is impossible to create emergency operating procedures for every new or unforeseen catastrophe. Similarly, many surgeons in positions of leadership have limited exposure to executive decision-making or clinical expertise outside their area of specialist training. It is not unreasonable therefore for surgical leaders and their organisations to feel overwhelmed by complex and evolving crises, such as the recent COVID-19 pandemic. At such times, it is important to reflect on key strategies that can provide pragmatic, timely and cohesive means of restructuring the delivery of surgical care at an organisational level.
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Content ArticleSafety of patients and surgical teams is paramount when undertaking elective surgery in the initial recovery phase from COVID-19. This tool from the Royal College of Surgeons of England lists key considerations to minimise risks of patients and surgical teams contracting COVID-19 in the hospital.
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- Surgery - General
- Surgeon
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Content ArticleHospitals are currently planning to resume or expand surgical services that were cancelled during the recent COVID-19 crisis. While emergency surgery will need to continue to be performed within current restrictions, other operations might now be feasible as resources become available. The following checklist from the Royal College of Surgeons of England introduces some of the main criteria that should be taken into account in the initial stages of resuming planned surgery.
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Content ArticleIn this article in the APSF newsletter, Jeffrey Cooper discusses the importance of the anaesthetist and surgeon relationship and why a healthy collaborative relationship is vital for patient safety. He suggests a number of practical relationship building principles. "I’m not promising you a rosy world if you work at this. But I think it’s worth your time for your patients’ safety to try as much as you can. Doing nothing will mean nothing will change. If your efforts succeed, you’ll have made a huge advance for patient safety, and you’re likely to find more joy and meaning in your professional daily life."
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- Anaesthetist
- Surgeon
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Medical negligence: Diathermy burns
Patient Safety Learning posted an article in Legal matters
If you have suffered a diathermy burn during surgery, you will probably have a number of questions that need to be answered. For example, why did you wake up from surgery with a burn on your skin? Is this the fault of your surgeon? And is there any action you can take?- Posted
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Content ArticleSurgical fires are fires that occur in, on or around a patient undergoing a medical or surgical procedure. Surgical fires are rare but serious events. The ECRI Institute estimates that approximately 550 to 600 surgical fires occur each year in the USA. The American Association of Nurse Anesthetists (AANA) is a collaborating partner of the FDA Preventing Surgical Fires Initiative. This initiative was launched to increase awareness of factors that contribute to surgical fires, disseminate surgical fire prevention tools, and promote the adoption of risk reduction practices throughout the healthcare community.
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- Operating theatre / recovery
- Nurse
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Content ArticleFrom pre-operative care, through the anaesthetic and surgical phases to post-operation and recovery, this easy-to-read, quick-reference resource uses the unique at a Glance format to quickly convey need-to-know information in both images and text, allowing vital knowledge to be revised promptly and efficiently.
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- Operating theatre / recovery
- Anaesthetist
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Electrosurgery. Managing the risk (September 2004)
Patient Safety Learning posted an article in Surgery
This poster from the National Association of Theatre Nurses (ATN) aims to give an overview of electrosurgery in the perioperative setting. It identifies and defines some of the common forms of electrosurgery used in perioperative practice and identifies some of the hazards that can be associated with these products.- Posted
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- Surgeon
- Operating theatre / recovery
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Content ArticleThis report from Saaiq and colleagues, published in the Annals of Burns and Fire Disasters, highlights three cases of iatrogenic electrocautery burns with review of the relevant published literature. The aim is to prompt awareness among surgeons and theatre staff regarding this avoidable hazard associated with the equipment frequently used for the purpose of electrocautery. This may serve as a reminder to professionals to be cautious about the pitfalls that lead to such preventable injuries.
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- Operating theatre / recovery
- Surgeon
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Content ArticleEver wondered what a day in the life of a neurosurgeon on-call is like? Watch this video to follow a neurosurgery resident in a UK major trauma centre as he works a 28 hour shift.
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A dropped instrument, washed in theatre and immediately reused: a story from a theatre nurse
Anonymous posted an article in By health and care staff
What happens if a surgeon accidentally drops an instrument on the floor, picks it up and reuses, without it going through a steriliser? Should this be allowed to happen? Well it did!- Posted
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- Anaesthetist
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Content ArticlePete Smith is nothing without the energy and commitment of the amazing people who surround him. Increasing the technical skill of a healthcare clinician makes for incremental change. Improve the culture within which they work, think and communicate and suddenly quantum change is possible. Two perioperative nurses from a regional hospital in Victoria, Australia, innovated a simple, elegant solution to the problem of noise and distraction in the operating room. Pete Smith was one of them.
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- Operating theatre / recovery
- Surgeon
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Below Ten Thousand video
Patient Safety Learning posted an article in Processes
Below Ten Thousand is a language-based safety tool for any clinical arena where 'noise and distraction' is a problem, and where high performance teams need to quickly gain 'situational awareness' and ‘directed focus’ in order to successfully navigate the perils of acute healthcare whilst providing first class interventions.- Posted
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- Operating theatre / recovery
- Surgeon
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Content ArticleIn January 2017, I read an article in Outpatient Surgery involving an elderly patient in the US who suffered multiple burns following the use of chlorohexidine bottled alcoholic prep. The Oregon woman filed a million-dollar lawsuit against the Oregon Outpatient Surgery Center in Tigard, Ore., saying she suffered severe burns when her face caught on fire during an electrocautery procedure. Having read this tragic story and escalated it to my theatre manager and colleagues, I decided to design and evaluate a FRAS (Fire Risk Assessment Score) and use it as part of the WHO Surgical Checklist at "time out" to raise awareness of fires in operating theatres.
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- Operating theatre / recovery
- Anaesthetist
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Content Article"It’s time to halt, take a break, and redraw the relationship between patient care and self-care. Self-care isn’t an optional luxury. It must sit at the heart of what we do, to ensure our teams can continue to rise to the challenges of working in the 21st century NHS, to give our patients the best of both ourselves, and the organisation so many of us are proud to be a part of."
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- Accident and Emergency
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Content ArticlePostoperative delirium is common and has multiple adverse consequences. Guidelines recommend routine screening for postoperative delirium beginning in the post-anaesthesia care unit. The 4 A’s test (4AT) is a widely used assessment tool for delirium; however, there are no studies evaluating its use in the post-anaesthesia care unit. Saller et al. evaluated the performance of the 4AT in the post-anaesthesia care unit in a tertiary German medical centre. The findings published in Anaesthesia suggest that the 4AT is an effective and robust instrument for delirium detection in the post-anaesthesia care unit. suggest that the 4AT is an effective and robust instrument for delirium detection in the post-anaesthesia care unit.
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- Operating theatre / recovery
- Anaesthetist
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10,000 feet - Patient Safety in the operating theatre
Claire Cox posted an article in Process improvement
This video by theatre staff from East Lancashire Hospitals NHS Trust explains how the 10,000 feet initiative promotes patient safety within the operating theatre.- Posted
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- Operating theatre / recovery
- AHP
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Patient information for surgical safety: WHO leaflet (2015)
Claire Cox posted an article in Keeping patients safe
This leaflet produced by the World Health Organization (WHO) is aimed at patients who are undergoing a surgical procedure. It aims to enable communication between you and your surgical team, including you in safety checks.- Posted
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- Operating theatre / recovery
- Patient
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Content Article
Oxford University surgical lectures: Retained swabs
Claire Cox posted an article in By health and care staff
Dr Clare Dollery reflects on a retained swab 'never event' in Churchill Hospital theatres. Incidents, such as operating on the wrong body part or leaving instruments inside patients are categorised by the Department of Health as 'never events'. Dr Dollery is Oxford University Hospital's Deputy Medical Director. The Surgical Grand Rounds lecture series, hosted by the Nuffield Department of Surgical Sciences at Oxford University, is the key educational meeting for consultants, juniors and medical students. Presentations revolve around clinical cases.- Posted
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- Operating theatre / recovery
- Nurse
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Content ArticleThis report from the King's Fund explores in more detail the role of leaders in engaging a range of significant others in improving health and healthcare.
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Content ArticlePotentially preventable adverse events remain a formidable cause of patient harm and health care expenditure despite advances in systems-based risk-reduction strategies. This quality improvement study from Suliburk et al., published in JAMA Network Open, analysed the incidence of human performance deficiencies during the provision of surgical care to identify opportunities to enhance patient safety.
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- Operating theatre / recovery
- Anaesthetist
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#TheatreCapChallenge: Where’s the evidence?
Claire Cox posted an article in Implementation of improvements
PatientSafe Network in Australia has been promoting the theatre cap challenge across the world. By wearing your name on your theatre cap it can improve team work and patient safety. The PatientSafe Network is a registered non for profit charity. It has been developed by front line healthcare staff and is for anyone to use – patients, relatives, doctors, nurses, pharmacists, healthcare managers, equipment and system developers, insurers – who wants to improve patient safety.- Posted
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- Operating theatre / recovery
- Anaesthetist
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Content Article
Vascular Surgery: GIRFT Programme National Specialty Report
Claire Cox posted an article in Surgery
Getting It Right First Time (GIRFT) is designed to improve the quality of care within the NHS by reducing unwarranted variations. By tackling variations in the way services are delivered across the NHS, and by sharing best practice between trusts, GIRFT identifies changes that will help improve care and patient outcomes, as well as delivering efficiencies such as the reduction of unnecessary procedures and cost savings. -
Content ArticleRichard Greenwood is Trust Decontamination Lead & Head of Sterile Services at University Hospitals of Morecambe Bay (UHMB) NHS Foundation Trust. As with many NHS Trusts, UHMB were faced with problem of managing surgical instrument stocks, migration of the instruments from sets, and tracking and tracing single instruments through the decontamination process back to the patient. This case study shows how they solved this problem.
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- Operating theatre / recovery
- Nurse
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