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No S.C.A.R.E. Protocol: A Streamlined Safety Protocol

No S.C.A.R.E. Protocol: A Streamlined Safety Protocol Tyler James Jenkins, MD Introduction: Despite the proven success of anterior cervical surgery (ACS) postoperative issues can arise, with retropharyngeal Ryan D. Snowden, MD hematoma (RH) being one of the most feared. A recent USA Today Joseph Smucker, MD article highlighted the failed management and subsequent death of Wellington K. Hsu, MD patients developing RH after ACS. The article calls into question the K. Dan Riew, MD safety of performing ACS in an outpatient setting. Methods: We tested the knowledge of 20 healthcare professionals Rick C. Sasso, MD (4 surgeons, 16 ancillary providers) regarding ways to minimize the post-ACS complications. We used a multiple-choice and fill-in-the- blank test. We then developed a No S.C.A.R.E. safety protocol and after teaching the same professionals, re-administered the examination to assess improvement. Results: We identified large gaps in knowledge between spine surgeons and other providers (92.3% versus 31.2%) on preintervention testing. Postintervention testing showed significant improvement in nonsurgeon scores (31.2% to 86.1%, P , 0.01). Improvement was also seen in provider confidence after completion of the education module. From the Indiana Spine Group, Conclusion: Previous studies demonstrate that the incidence of RH Carmel, IN (Dr. Jenkins, Dr. Snowden, necessitating evacuation after ACS is http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of the American Academy of Orthopaedic Surgeons Wolters Kluwer Health

No S.C.A.R.E. Protocol: A Streamlined Safety Protocol

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Publisher
Wolters Kluwer Health
ISSN
1067-151X
eISSN
1940-5480
DOI
10.5435/JAAOS-D-18-00698
Publisher site
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Abstract

Tyler James Jenkins, MD Introduction: Despite the proven success of anterior cervical surgery (ACS) postoperative issues can arise, with retropharyngeal Ryan D. Snowden, MD hematoma (RH) being one of the most feared. A recent USA Today Joseph Smucker, MD article highlighted the failed management and subsequent death of Wellington K. Hsu, MD patients developing RH after ACS. The article calls into question the K. Dan Riew, MD safety of performing ACS in an outpatient setting. Methods: We tested the knowledge of 20 healthcare professionals Rick C. Sasso, MD (4 surgeons, 16 ancillary providers) regarding ways to minimize the post-ACS complications. We used a multiple-choice and fill-in-the- blank test. We then developed a No S.C.A.R.E. safety protocol and after teaching the same professionals, re-administered the examination to assess improvement. Results: We identified large gaps in knowledge between spine surgeons and other providers (92.3% versus 31.2%) on preintervention testing. Postintervention testing showed significant improvement in nonsurgeon scores (31.2% to 86.1%, P , 0.01). Improvement was also seen in provider confidence after completion of the education module. From the Indiana Spine Group, Conclusion: Previous studies demonstrate that the incidence of RH Carmel, IN (Dr. Jenkins, Dr. Snowden, necessitating evacuation after ACS is

Journal

Journal of the American Academy of Orthopaedic Surgeons – Wolters Kluwer Health

Published: Jan 1, 2020

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