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- Communication Improvement 4
- Culture of Safety 1
- Education and Training 1
- Error Reporting and Analysis 6
- Human Factors Engineering 4
- Legal and Policy Approaches 8
- Logistical Approaches 1
- Quality Improvement Strategies 4
- Teamwork 1
- Transparency and Accountability 1
- Discontinuities, Gaps, and Hand-Off Problems 2
- Medical Complications 3
- Medication Safety 2
- Nonsurgical Procedural Complications 2
- Surgical Complications 11
Search results for "Outpatient Surgery"
- Newspaper/Magazine Article
- Outpatient Surgery
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.
Hartocollis A, Goodman JD. New York Times. September 9, 2014.
Office-based anesthesia is becoming more common despite concerns regarding its safety. This newspaper article reports on factors to enhance safety of surgical care in ambulatory settings, such as adequate screening of patient risks, availability of staff trained to perform intubations when needed, and ensuring access to lifesaving equipment as strategies.
Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit.
ISMP Medication Safety Alert! Acute Care Edition. March 21, 2013;18:1-3.
This newsletter article discusses factors that contributed to the death of a patient in an ambulatory surgery center and recommends improved monitoring practices and alarm management in post-anesthesia care units.
Lord T. Patient Saf Qual Healthc. March/April 2012;9:38-41,44.
This article details how miscommunication and lack of patient-centered care contributed to errors that led to the death of a child.
Bogdanich W, Rebelo K. New York Times. December 28, 2010;A1.
This article explores inaccuracy of dosage, lack of protocol adherence, and absence of transparency as trends that hinder learning from radiological adverse events.
Rollins G. Hosp Health Netw. 2007;81(12):53-4, 56, 1.
This article discusses a National Quality Forum initiative endorsing quality measures that can be publicly reported to elucidate the safety of ambulatory surgical care.
Ellis K. Surgicenteronline.com [serial online]. May 1, 2006.
This article discusses the application of several Joint Commission on Accreditation of Healthcare Organizations (JCAHO) National Patient Safety Goals in ambulatory surgery centers (ASCs) and interviews one practitioner about implementing patient safety interventions in his ASC.
Brooks A. New York Times. June 14, 2005:F5.
This article provides a brief review of safety concerns associated with free-standing surgical centers.
Aston G. Hosp Health Netw. September 9, 2014.
Sanghavi D. Boston Globe Magazine. January 27, 2013.
Cohen E. CNN. October 15, 2012.
This news piece reports on a patient who may have been misdiagnosed with a stroke after receiving a contaminated steroid injection.
Grady D, Pollack A, Tavernise S. New York Times. October 6, 2012.
This newspaper article discusses how the drug shortage and use of compounded drugs contributed to an outbreak of fungal meningitis in the United States. The outbreak has already led to more than a dozen deaths.
PA-PSRS Patient Saf Advis. September 2011;8:85-93.
Analyzing reports of medication errors in ambulatory surgery centers, this article discusses common error types and provides suggestions to prevent such events and prioritize improvement efforts.
Urman RD, Shapiro FE. APSF Newsletter. 2011;3-4,9.
This piece discusses an ambulatory surgery safety improvement program and describes its background, goals, and checklist initiative.
Jt Comm Perspect. August 2010;30:6-7.
This newsletter article discusses the National Patient Safety Goals (NPSG) for 2011 and describes revisions of current NPSGs.
Seeking a safer surgery: some states crack down on doctors who perform unregulated outpatient procedures.
Landro L. Wall Street Journal. July 21, 2009:D1.
This article discusses growing legal oversight on outpatient surgery performed in physicians' offices and identifies ways in which patients can assess a facility before deciding to have a procedure there.
Landro L. Wall Street Journal. February 18, 2009:D1.
This newspaper article discusses increasing concerns over potential burn injuries in the hospital setting and reports on efforts to raise awareness of the dangers and promote preventative measures.
Allen M. Las Vegas Sun. March 2, 2008.
This article and accompanying video describe how investigators determined the root causes and source of a hepatitis outbreak in Nevada—one clinic's unsafe injection practices.