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Patient Safety in the Cardiac Operating Room

Patient Safety in the Cardiac Operating Room Patient Safety in the Cardiac Operating Room: What Can, Will, and Might Make Patients Safer and You Happier? James H. Abernathy III, MD, MPH, FASE, FAHA Department of Anesthesiology, Division of Cardiothoracic Anesthesiology Medical University of South Carolina Charleston, South Carolina Despite the obstacles, mortality and morbidity from cardiac Learning Objectives: surgery have steadily decreased over the past decade. As a result of completing this activity, the participant Inevitably, however, humans continue to make errors. will be able to Gawande and colleagues found that adverse events occurred Describe the current state and limitations of safety in 12% of cardiac surgical operations, compared with only 3% science as it relates to communication, culture, and in a general surgery population. Some 28,000 of the 350,000 environment in the operating room cardiac surgical patients in the United States each year will have Incorporate current safety principles into operat- 2,3 an adverse, preventable event. ing room practice Preventable errors are not related to failure of technical Differentiate latent errors in a care delivery system skill, training, or knowledge, but represent cognitive, sys- from adverse patient events tem, or teamwork failures (Supplemental Digital Content 1, http://links.lww.com/ASA/A558). Jim Reason, the re- Author Disclosure Information: nowned http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png ASA Refresher Courses in Anesthesiology Wolters Kluwer Health

Patient Safety in the Cardiac Operating Room

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Copyright
Copyright © 2015 by Lippincott Williams & Wilkins
ISSN
0363-471X
DOI
10.1097/ASA.0000000000000031
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Abstract

Patient Safety in the Cardiac Operating Room: What Can, Will, and Might Make Patients Safer and You Happier? James H. Abernathy III, MD, MPH, FASE, FAHA Department of Anesthesiology, Division of Cardiothoracic Anesthesiology Medical University of South Carolina Charleston, South Carolina Despite the obstacles, mortality and morbidity from cardiac Learning Objectives: surgery have steadily decreased over the past decade. As a result of completing this activity, the participant Inevitably, however, humans continue to make errors. will be able to Gawande and colleagues found that adverse events occurred Describe the current state and limitations of safety in 12% of cardiac surgical operations, compared with only 3% science as it relates to communication, culture, and in a general surgery population. Some 28,000 of the 350,000 environment in the operating room cardiac surgical patients in the United States each year will have Incorporate current safety principles into operat- 2,3 an adverse, preventable event. ing room practice Preventable errors are not related to failure of technical Differentiate latent errors in a care delivery system skill, training, or knowledge, but represent cognitive, sys- from adverse patient events tem, or teamwork failures (Supplemental Digital Content 1, http://links.lww.com/ASA/A558). Jim Reason, the re- Author Disclosure Information: nowned

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ASA Refresher Courses in Anesthesiology – Wolters Kluwer Health

Published: Jan 1, 2015

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