Literature DB >> 31363833

From box ticking to the black box: the evolution of operating room safety.

Mitchell G Goldenberg1, Dean Elterman2.   

Abstract

PURPOSE: Efforts to improve the safety of patients in the operating room have focused on mitigating harm through the standardization of system, team, and human level factors. This article highlights existing and future methods for enhancing safety in the perioperative setting, and the theory and principles that underpin them.
METHODS: Evidence surrounding the development and implementation of select surgical safety interventions is discussed.
RESULTS: Work in human factors and engineering that has inspired safety interventions such as the WHO Safety Checklist, and more recently operating room recorders, represents a movement away from traditional, retrospective or reactive methods of studying surgical safety, to prospective and proactive ones.
CONCLUSIONS: Future work will examine the effectiveness of these interventions for improving patient outcomes and minimizing iatrogenic harm.

Entities:  

Keywords:  Black box; Checklist; Patient safety

Mesh:

Year:  2019        PMID: 31363833     DOI: 10.1007/s00345-019-02886-5

Source DB:  PubMed          Journal:  World J Urol        ISSN: 0724-4983            Impact factor:   4.226


  27 in total

1.  Development of an online morbidity, mortality, and near-miss reporting system to identify patterns of adverse events in surgical patients.

Authors:  Karl Y Bilimoria; Thomas E Kmiecik; Debra A DaRosa; Amy Halverson; Mark K Eskandari; Richard H Bell; Nathaniel J Soper; Jeffrey D Wayne
Journal:  Arch Surg       Date:  2009-04

2.  Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional study.

Authors:  Stephanie Russ; Shantanu Rout; Jochem Caris; Jenny Mansell; Rachel Davies; Erik Mayer; Krishna Moorthy; Ara Darzi; Charles Vincent; Nick Sevdalis
Journal:  J Am Coll Surg       Date:  2014-10-12       Impact factor: 6.113

Review 3.  Wrong-Site Surgery, Retained Surgical Items, and Surgical Fires : A Systematic Review of Surgical Never Events.

Authors:  Susanne Hempel; Melinda Maggard-Gibbons; David K Nguyen; Aaron J Dawes; Isomi Miake-Lye; Jessica M Beroes; Marika J Booth; Jeremy N V Miles; Roberta Shanman; Paul G Shekelle
Journal:  JAMA Surg       Date:  2015-08       Impact factor: 14.766

Review 4.  Barriers and facilitators related to the implementation of surgical safety checklists: a systematic review of the qualitative evidence.

Authors:  Jochen Bergs; Frank Lambrechts; Pascale Simons; Annemie Vlayen; Wim Marneffe; Johan Hellings; Irina Cleemput; Dominique Vandijck
Journal:  BMJ Qual Saf       Date:  2015-07-21       Impact factor: 7.035

5.  Introduction of surgical safety checklists in Ontario, Canada.

Authors:  David R Urbach; Anand Govindarajan; Refik Saskin; Andrew S Wilton; Nancy N Baxter
Journal:  N Engl J Med       Date:  2014-03-13       Impact factor: 91.245

6.  Mortality Trends After a Voluntary Checklist-based Surgical Safety Collaborative.

Authors:  Alex B Haynes; Lizabeth Edmondson; Stuart R Lipsitz; George Molina; Bridget A Neville; Sara J Singer; Aunyika T Moonan; Ashley Kay Childers; Richard Foster; Lorri R Gibbons; Atul A Gawande; William R Berry
Journal:  Ann Surg       Date:  2017-12       Impact factor: 12.969

7.  Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: Are they preventable?

Authors:  Samuel C Seiden; Paul Barach
Journal:  Arch Surg       Date:  2006-09

8.  Effect of a comprehensive surgical safety system on patient outcomes.

Authors:  Eefje N de Vries; Hubert A Prins; Rogier M P H Crolla; Adriaan J den Outer; George van Andel; Sven H van Helden; Wolfgang S Schlack; M Agnès van Putten; Dirk J Gouma; Marcel G W Dijkgraaf; Susanne M Smorenburg; Marja A Boermeester
Journal:  N Engl J Med       Date:  2010-11-11       Impact factor: 91.245

9.  Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I.

Authors:  T A Brennan; L L Leape; N M Laird; L Hebert; A R Localio; A G Lawthers; J P Newhouse; P C Weiler; H H Hiatt
Journal:  N Engl J Med       Date:  1991-02-07       Impact factor: 91.245

10.  Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative study.

Authors:  Anna R Gagliardi; Sharon E Straus; Kaveh G Shojania; David R Urbach
Journal:  PLoS One       Date:  2014-09-26       Impact factor: 3.240

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  3 in total

Review 1.  The role of teamwork and non-technical skills for improving emergency surgical outcomes: an international perspective.

Authors:  Philip F Stahel; Lorenzo Cobianchi; Francesca Dal Mas; Simon Paterson-Brown; Boris E Sakakushev; Christine Nguyen; Gustavo P Fraga; Steven Yule; Dimitrios Damaskos; Andrew J Healey; Walter Biffl; Luca Ansaloni; Fausto Catena
Journal:  Patient Saf Surg       Date:  2022-02-08

2.  Patient Safety in the Operating Room During Urologic Surgery: The OR Black Box Experience.

Authors:  A Rai; L Beland; T Aro; M Jarrett; L Kavoussi
Journal:  World J Surg       Date:  2021-08-05       Impact factor: 3.352

3.  Surgical safety.

Authors:  Siska Van Bruwaene
Journal:  World J Urol       Date:  2020-06       Impact factor: 4.226

  3 in total

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