Principles Of Perioperative Safety And Efficiency

Perioperative safety continues to be a global challenge. It is estimated that approximately 200 million surgical procedures are performed annually worldwide, and despite various national and global safety initiatives, perioperative adverse event rates remain alarmingly high. Although hospitals and governmental agencies impose safety standards and certification by organizations such as the Joint Commission, which can address issues of perioperative safety, many hospitals in developed, developing or underdeveloped countries lack the resources or knowhow to decrease perioperative adverse events. There is a great opportunity for improving perioperative safety worldwide especially in underdeveloped or developing countries. Filling a gap in the literature, this book teaches healthcare providers the basic principles of perioperative safety and efficiency, including checklists and processes to reduce adverse events. Presented here are the basics of intraoperative monitoring and safety measures to reduce patient adverse events, including wrong site surgery, electric burn injury, deep venous thrombosis, surgical site infection and foreign body retention. Emphasis is given toward developing awareness into measures preventing occupational injuries, such as sharp injury, radiation exposure, laser exposure and smoke hazard. It also addresses dealing and reporting adverse events and disruptive behaviors in the operating rooms as well as new measures for enhanced recovery following surgery and anesthesia. Principles of Perioperative Safety and Efficiency is a valuable resource and reference for all operating room personnel including surgeons, surgical residents, medical students and nurses.

The only book devoted to this increasingly important issue, Perioperative Safety helps you reduce risk in a setting where even small errors can lead to life-threatening complications. Expert author Donna Watson addresses essential safety principles and concepts, covering patient safety with topics such as the latest safety strategies and initiatives, perioperative safe medication use, preventing infections, anesthesia safety, normothermia management, and electrosurgery. Coverage of staff and workplace safety helps you minimize risk with bloodborne pathogens, latex allergy, the use of lasers, and radiation exposure. Case studies show the application of safety concepts in real-world situations. Unique! The only book devoted to the increasingly important issue of perioperative safety, where small errors can lead to life-threatening complications. Unique! Highly qualified writers are some of the leading experts in the perioperative field, so material is up to date and emphasizes the most important information. Unique! Clinical Points boxes call attention to key points in promoting safety for both patients and staff in the perioperative setting. Unique! Case studies describe real-life scenarios related to promoting patient safety. Figures and tables are used to support important content.

In this issue of Anesthesiology Clinics, guest editors Drs. Matthew M. McEvoy and James Abernathy III bring their considerable expertise to the topic of Perioperative Safety Culture. Safety culture is the product of individual and group values, attitudes, perceptions, competencies, and patterns of behavior that determine an organization’s health and safety management. In this issue, top experts discuss topics such as patient safety and clinician wellness; handoffs and In-hospital care transitions; team dynamics in the operating room: how is team performance optimized?; anesthesiology operating room medication delivery; OR design: state-of-the-art design concepts to help mitigate errors and improve safety; and more. Contains 16 practice-oriented topics including perioperative safety culture: principles, practices, and pragmatic approaches; what do we know about the system and what are the best practices to stop errors in healthcare; coaching to improve performance; systems of care delivery and optimization in the preoperative arena, operating room, ICU, and postoperative care wards; and more. Provides in-depth clinical reviews on perioperative safety culture, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Practical resource for all healthcare professionals involved in day-to-day management of operating rooms of all sizes and complexity.

(Churchill Livingstone) Bournemouth Univ., UK. Practical look at the role of the perioperative nurse. Discusses risk assessment and health and safety, ethics, quality, and new technology. Focuses on the multi-disciplinary team. For practitioners, students, and managements. British-oriented. Softcover.

"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

This book delivers a comprehensive review of human factors principles as they relate to surgical care inside and outside of the operating theatre. It provides multi-dimensional human-centered insights from the viewpoint of academic surgeons and experts in human factors engineering to improve workflow, treatment time, and outcomes. To guide the reader, the book begins broadly with Human Factors Principles for Surgery then narrows to a discussion of surgical specialties and scenarios. Each chapter follows the following structure: (1) An overview of the topic at hand to provide a reference for readers; (2) a case study or story to illustrate the topic; (3) a discussion of the topic including human factors insights; (4) lessons learned, or personal “pearls” related to improving the specific system described. Written by experts in the field, Human Factors in Surgery: Enhancing Safety and Flow in Patient Care describes elements of the surgical system and highlights the lessons learned from systems engineering. It serves as a valuable resource for surgeons at any level in their training that wish to improve their practice.

Surgical site infections are caused by bacteria that get in through incisions made during surgery. They threaten the lives of millions of patients each year and contribute to the spread of antibiotic resistance. In low- and middle-income countries, 11% of patients who undergo surgery are infected in the process. In Africa, up to 20% of women who have a caesarean section contract a wound infection, compromising their own health and their ability to care for their babies. But surgical site infections are not just a problem for poor countries. In the United States, they contribute to patients spending more than 400 000 extra days in hospital at a cost of an additional US $10 billion per year. No international evidence-based guidelines had previously been available before WHO launched its global guidelines on the prevention of surgical site infection on 3 November 2016, and there are inconsistencies in the interpretation of evidence and recommendations in existing national guidelines. These new WHO guidelines are valid for any country and suitable to local adaptations, and take account of the strength of available scientific evidence, the cost and resource implications, and patient values and preferences.