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Kowalczyk L. Boston Globe. August 14, 2016.
Certain elements of the ambulatory surgery environment can increase risk of adverse events. Reporting on a series of patient injuries linked to a contracted anesthesiologist at a cataract surgery center, this news article describes how factors such as production pressure and insufficient assessment of contract anesthesiologists' qualifications can contribute to adverse events in outpatient surgery.
Journal Article > Commentary
Optimal preoperative assessment of the geriatric surgical patient: a best practices guideline from the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society.
Chow WB, Rosenthal RA, Merkow RP, Ko CY, Esnaola NF. J Am Coll Surg. 2012;215:453-466.
This guideline describes recommendations for preoperative assessment of elderly surgical patients, including risk factors for postoperative delirium and pulmonary complications, to enhance safety and reduce readmissions.
Journal Article > Study
Care transitions in the outpatient surgery preoperative process: facilitators and obstacles to information flow and their consequences.
Schultz K, Carayon P, Hundt AS, Springman SR. Cogn Technol Work. 2007;9:219-231.
Bramson K, Mooney T. Providence Journal. August 18, 2006.
This article reports on a case of mistaken identity that resulted in erroneous surgery, despite a "time out" before beginning the operation.
Subcommittee on Oversight and Investigations, 109th Cong, 2nd Sess (June 15, 2006). (Testimony of James P. Bagian, MD, PE; John D. Daigh, Jr., MD; Daniel Schultz, MD; Laurie Ekstrand).
These testimonies addressed issues within the Veterans Affairs health system that contributed to recent sterilization and labeling lapses.
Health Care Inspection. Washington, DC: VA Office of Inspector General; April 10, 2006. Report No. 06-01642-126.
This report shares the results of an inspection into two mistakes at a Veterans Affairs (VA) health facility involving appropriate sterilization of implantable medical devices.
Journal Article > Study
What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medication histories.
Burda SA, Hobson D, Pronovost PJ. Qual Saf Health Care. 2005;14:414-416.
The researchers compared postoperative intensive care unit admission records at one hospital to track differences between surgery and anesthesia preoperative medication histories. They found that 73% had at least one discrepancy.