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Search results for "Psychological and Social Complications"
- Anesthesia Nursing
- Psychological and Social Complications
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 > Review
Pattni N, Arzola C, Malavade A, Varmani S, Krimus L, Friedman Z. Br J Anaesth. 2019;122:233-244.
Effective teamwork and communication are critical to ensuring patient safety in the busy environment of the operating room. This review examined the evidence on preparing staff to challenge authority in the perioperative environment. Common themes that affect speaking up included hierarchy, organizational culture, and education. Teaching that promotes open communication in the postgraduate environment and utilizing tactics such as simulation training can help address barriers to challenging authority.
Journal Article > Study
McMullan SP, Thomas-Hawkins C, Shirey MR. Nurs Adm Q. 2017;41:56-69.
Journal Article > Study
Snoots LR, Wands BA. AANA J. 2016;84:114-119.
Personal electronic devices such as smartphones are now ubiquitous, and many clinicians use them for both work and personal purposes. Although considered a necessity, these devices can serve as a distraction, which could compromise patient safety. This review found that many certified registered nurse anesthetists and anesthesiologists acknowledge using personal electronic devices in the operating room despite knowledge of the potential risks. Currently, no formal guidelines exist regarding what constitutes inappropriate use of such devices in the operating room. The authors call for further research in order to develop policies to balance the risks and benefits of personal electronic devices. A WebM&M commentary discusses a case where an interruption due to receiving a text message on a smartphone led to a serious medication error.
Brandeland GP. Med Econ. 2006 Oct 20;83:50, 52-53.
This author shares his experience as a young physician dealing with the aftermath of a medical error and how the incident affected his practice, his personal relationships, and the patient's family.
Journal Article > Commentary
Daniels RG, McCorkle R. AANA J. 2016;84:107-113.
The second victim phenomenon has been well-documented in health care, but the problem has rarely been studied in certain specialties. Reviewing the literature on how medical error can affect nurse anesthetists, this commentary describes the development of a curriculum for this specialty group which focuses on definitions, risks, barriers, and interventions.