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- Communication Improvement 2
- Culture of Safety 2
- Education and Training
- Legal and Policy Approaches 1
- Quality Improvement Strategies 2
- Teamwork 1
- Technologic Approaches 3
- Medical Complications 1
- Medication Safety 3
- Psychological and Social Complications 1
- Surgical Complications 5
Search results for "Information Professionals"
Journal Article > Review
An overview of research priorities in surgical simulation: what the literature shows has been achieved during the 21st century and what remains.
Johnston MJ, Paige JT, Aggarwal R, et al; Association for Surgical Education Simulation Committee. Am J Surg. 2016;211:214-225.
Simulation has been explored as a way to improve teamwork, crisis management, and technical skills in surgery. This review analyzes the evidence base on surgical simulation and identifies areas of progress, including curricula development, training techniques, and feedback methods. However, there is still a lack of data confirming the impact of simulation interventions on patient outcomes.
Cases & Commentaries
- Web M&M
Audrey Lyndon, PhD, RN, and Stephanie Lim, MD; June 2019
During surgery for a forearm fracture, a woman experienced a drop in heart rate to below 50 beats per minute. As the consultant anesthesiologist had stepped out to care for another patient, the resident asked the technician to draw up atropine for the patient. When the technician returned with an unlabeled syringe without the medication vial, the resident was reluctant to administer the medication, but did so without a double check after the technician insisted it was atropine. Over the next few minutes, the patient's blood pressure spiked to 250/135 mm Hg.
Journal Article > Study
Minimizing Opioid Prescribing in Surgery (MOPiS) initiative: an analysis of implementation barriers.
Coughlin JM, Shallcross ML, Schäfer WLA, et al. J Surg Res. 2019;239:309-319.
Prior studies have found that patients are often prescribed opioids inappropriately after undergoing surgery. This qualitative study reports on the implementation of a multifaceted effort to reduce opioid prescribing and standardize postoperative pain management at an academic hospital. The investigators identified several barriers to improving prescribing, including time and resource constraints and fear of harming patient satisfaction.
Special or Theme Issue
Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.
This special issue includes articles discussing safety in anesthesiology practice as well as quality improvement innovations.
Journal Article > Study
Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing surgical quality.
Leonardi MJ, McGory ML, Ko CY. Arch Surg. 2007;142:863-869.
The growing focus on health care quality has led to the development of several Web sites that make hospital quality information publicly available to consumers. This study evaluated six such Web sites (the Centers for Medicaid and Medicare Services' Hospital Compare, the Joint Commission's Quality Check, the Leapfrog Group, and three commercial sites) for ease of use, data accuracy, and consistency of hospital rankings for several surgical quality measures. In general, the governmental and non-profit Web sites were rated as easier to use and had more complete information. However, the authors found significant variation in the risk adjustment methods used and the types of outcomes reported on each Web site, leading to poor reproducibility of rankings for specific surgical procedures.