Patient Safety in the Cardiac Operating Room: Human Factors and Teamwork

Wahr, Joyce A.; Prager, Richard L.; Abernathy, James H.; Martinez, Elizabeth A.; Salas, Eduardo; Seifert, Patricia C.; Groom, Robert C.; Spiess, Bruce D.; Searles, Bruce; Sundt, Thoralf M.; Sánchez, Juan A.; Shappell, Scott A.; Culig, Michael H.; Lazzara, Elizabeth H.; Fitzgerald, David; Thourani, Vinod H.; Eghtesady, Pirooz; Ikonomidis, John S.; England, Michael R.; Sellke, Frank W.; Nussmeier, Nancy A.

doi:10.1161/cir.0b013e3182a38efa

Cited by 242 publications

(169 citation statements)

References 374 publications

(475 reference statements)

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“…Similarly, deficits in information transfer and communication have resulted in adverse events during surgery [5]. Breakdowns in communication and teamwork lead to surgical flow disruptions, which have been associated with an increase in errors [6]. Wahr et al [6] concluded that despite different definitions in several studies, "surgical flow disruptions are correlated with adverse events."…”

mentioning

confidence: 99%

“…Breakdowns in communication and teamwork lead to surgical flow disruptions, which have been associated with an increase in errors [6]. Wahr et al [6] concluded that despite different definitions in several studies, "surgical flow disruptions are correlated with adverse events." Consequently, it is not surprising that communication was identified as a root cause in 63% of all the sentinel events reviewed by The Joint Commission between 2004 and 2013 [7].…”

mentioning

confidence: 99%

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Team interaction during surgery: a systematic review of communication coding schemes

Tiferes

Bisantz

Guru

2015

Journal of Surgical Research

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mentioning

confidence: 99%

mentioning

confidence: 99%

Team interaction during surgery: a systematic review of communication coding schemes

Tiferes

Bisantz

Guru

2015

Journal of Surgical Research

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“…Institutions can improve patient safety in vascular access surgery, as in any perioperative field, by improving OR and equipment ergonomics, by collective open-minded learning from each critical incident [29] , by supporting training of technical and nontechnical skills ( fig. 2 ) and critical incident management, and by promoting close interdisciplinary communication and good teamwork behavior [30] . …”

Section: Postoperative Carementioning

confidence: 99%

How to Perform Safe Anesthesia in Patients with End-Stage Renal Disease

Seidl

Eberle²

2015

Contributions to Nephrology

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Vascular surgical patients and especially those with end-stage renal disease are exposed to a high risk of preventable adverse events. Typically, a combination of organizational and technical deficiencies, human error or ineptitude and patient comorbidity leads to inadvertently poor outcome. Patient safety in perioperative environments requires permanent effort in organizational improvement, staff training, and maintenance of high standards in patient care and technical equipment. Even in multimorbid patients, anesthesia for vascular access surgery can be performed at low to moderate risk if safety problems are minimized. Recommendations to Improve Patient Safety• Preoperative preparation for anesthesia should identify individual risks and areas for optimization. An interdisciplinary perioperative plan should be developed and communicated to the entire team.• Institutionalized surgical safety checks and OR safety precautions help to reduce and manage unexpected adverse events.• Locoregional anesthesia offers, as an advantage, transient regional sympathectomy and blood flow enhancement without cardiopulmonary depression. General anesthesia avoids interaction with anticoagulant regimes and allows, if required, extension of surgery. Local anesthesia may require supportive sedation and monitoring.

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“…Atan bir kalbin durdurulması ve onarıldıktan sonra tekrar çalıştırılması, günümüzün halen en büyük mucizelerinden sayılır. Bu konuda birçok protokol belirlenmiş olup, en önemlisi ekip ruhunun oluşturulması ve bu ameliyatların karşılıklı iletişim ve güven ile yapılmasıdır (38).…”

Section: Tartişma Ve Sonuçunclassified

Anesthesia for adults in open heart surgery

Işıl¹,

Oba²

2015

Sisli Etfal

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Derleme / Review ÖZET:Erişkin hastalarda açık kalp cerrahisi için anestezi Anesthesia for adults in open heart surgeryIn our hospital the first open heart surgery was done in March 2015 and is still beeing processed successfully since. Open heart surgery is a major surgical procedure challenging the anesthesiologist to be skilled and carefully during every stage. In this review we aimed to summarize properties of anesthesia for cardiovascular surgery in adults.

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Patient Safety in the Cardiac Operating Room: Human Factors and Teamwork

Cited by 242 publications

References 374 publications

Team interaction during surgery: a systematic review of communication coding schemes

Team interaction during surgery: a systematic review of communication coding schemes

How to Perform Safe Anesthesia in Patients with End-Stage Renal Disease

Anesthesia for adults in open heart surgery

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