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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 intraoperativemonitoring 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.
Table of contents (24 chapters)
Front Matter
Pages i-xxiv
Perioperative Optimization
Front Matter
Pages 1-1
Human Factors and Principles of Patient Safety: The James Reason Model
Ryan Howard, Justin B. Dimick
Pages 3-15
Preoperative Testing in the Era of Cost Containment: Is There a Limit?
Georgios Tsoulfas
Pages 17-27
Preventing Never Events: Checklists, Timeouts, Debriefings, and Skin Marking
George Molina, Alex Haynes
Pages 29-47
Reducing Perioperative Medication Errors: How to Build Safer Systems
Petra Khoury, Ulfat Usta
Pages 49-67
Managing the Patient on Antiplatelet, Anticoagulation, Beta Blockers, Angiotensin-Converting Enzyme Inhibitors, Angiotensin-Receptors Blockers: The Anesthesia Perspective
Cynthia Karam, Wissam Maroun, Marie T. Aouad
Pages 69-86
Reducing Surgical Site Infections
Kamal M. F. Itani, Gentian Kristo
Pages 87-101
Perioperative Deep Vein Thrombosis Prophylaxis
Mohammad Rachad Wehbe, Charbel F. Matar, Ali Taher, Jamal J. Hoballah
Pages 103-121
Handling Pacemakers and Implantable Cardioverter Defibrillators in the Operating Room
Mohammad Sabra, Marwan M. Refaat
Pages 123-132
Traffic, Attire, and Distractions in the Operating Room
Chrysanthos D. Christou, Jamal J. Hoballah, Georgios Tsoulfas
Pages 133-153
Handling Surgical Specimens to Decrease Errors in Pathology
Fouad Boulos, Michel Attieh
Pages 155-167
Blood Transfusion Safety in the Operating Room
Nathan D. Neilsen, Roman Dudaryk, Daniel Dante Yeh
Pages 169-197
System Design and Improvement
Front Matter
Pages 199-199
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Detecting and Reporting Errors, Complications, and Adverse Events
Majed El Hechi, Haytham M. A. Kaafarani
Pages 201-216
Simulation Technical Training to Improve Safety in the OR
Rana M. Higgins, Marc A. de Moya
Pages 217-227
Teamwork and Communication Simulation to Improve Safety in the OR
Jamie L. Sparling, Jeffrey B. Cooper
Pages 229-250
Implementing Crew Resources Management Principles to Improve Perioperative Safety
Abdulelah Alhawsawi, M. Sofia Macedo
Pages 251-268
Peer Review of Perioperative Adverse Events
Lydia R. Maurer, Elizabeth Mort, Haytham M. A. Kaafarani
Pages 269-275
Enhanced Recovery After Surgery Protocols
Timothy E. Newhook, Thomas A. Aloia
Pages 277-293
System Design and Improvement
“I Can’t Ventilate!” Intraoperative Anesthesia Safety Events and Airway Management
Marwan Sarkis Rizk, Sarada Eleswarpu, Chakib Maurice Ayoub
Pages 295-314
“Don’t Yell at Me!” Disruptive Behavior in the OR
Julia R. Coleman, Richard Schulick
Pages 315-326
“Code Red!” Preventing and Managing Fire and Smoke Hazards in the OR
Wilton C. Levine, Yasmine Tameze
Pages 327-337
“I Got Stuck!” Blood Exposure in the OR: Prevention and Management of Sharp Injuries and Infectious Disease Exposure
Tala Ballouz, Carine Sakr, Nesrine A. Rizk
Pages 339-356
“I’m Missing a Sponge!” New Techniques in the Prevention of Foreign Body Retention
Scott E. Regenbogen, Samantha J. Rivard
Pages 357-369
Principles of Perioperative Safety and Quality on the Global Stage
Meena Nathan Cherian, Jyotsna Agarwal, Raymond R. Price, Janet Martin, Adrian W. Gelb, Davy Cheng
Pages 371-395
The Role of the American College of Surgeons in Advancing Perioperative Safety and Efficiency
Julia R. Coleman, Patricia L. Turner
Pages 397-406
Back Matter
Pages 407-416
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