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System factors affecting patient safety in the OR: an analysis of safety threats and resiliency.

Adams-McGavin RC, Jung JJ, van Dalen A, et al. System factors affecting patient safety in the OR: an analysis of safety threats and resiliency. Ann Surg. 2021;274(1):114-119. doi: 10.1097/sla.0000000000003616.

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August 25, 2021
Adams-McGavin RC, Jung JJ, van Dalen ASHM, et al. Ann Surg. 2021;274(1):114-119.

Resilience is the process of identifying and overcoming unexpected adverse events. By reviewing video, audio, and patient physiologic data recorded during 24 laparoscopic surgeries, researchers were able to identify safety threats and resilience supports used to overcome them. Of the six category codes, (person, task, tools and technology, physical environment, organization, and external environment) most safety threats and supports were in the person category.

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Adams-McGavin RC, Jung JJ, van Dalen A, et al. System factors affecting patient safety in the OR: an analysis of safety threats and resiliency. Ann Surg. 2021;274(1):114-119. doi: 10.1097/sla.0000000000003616.