tailieunhanh - Safer Surgery part 44

Safer Surgery part 44. There have been few research investigations into how highly trained doctors and nurses work together to achieve safe and efficient anaesthesia and surgery. While there have been major advances in surgical and anaesthetic procedures, there are still significant risks for patients during operations and adverse events are not unknown. Due to rising concern about patient safety, surgeons and anaesthetists have looked for ways of minimising adverse events. | This page has been left blank intentionally Chapter 24 Distractions and Interruptions in the Operating Room Nick Sevdalis Sonal Arora Shabnam Undre and Charles Vincent Introduction In recent years there have been significant attempts in the surgical literature to reconceptualize the way surgical performance errors and outcomes are understood. Key drivers behind such attempts are the recent focus on the safety and the quality of the care delivered to surgical patients . Greenberg et al. 2007 Gawande et al. 2003 the dramatic changes in surgical training - with reduced time to train and exposure to cases in the operating room OR Royal College of Surgeons of England 2007 and recent technological as well as educational advances in surgical simulators Aggarwal et al. 2004 2008 Dankelman and DiLorenzo 2005 Issenberg et al. 2005 . One such promising re-conceptualization is the systems view of surgical performance Calland et al. 2002 Healey and Vincent 2007 Vincent et al. 2004 . According to the systems view surgical performance and error outcome can be thought of as a composite function of individual surgical skills including technical and non-technical skills Yule et al. 2006 teamworking in OR teams Undre et al. 2006a 2006b 2007a OR environment. The systems view is currently a working hypothesis. As such it has sparked interest amongst surgical researchers and a number of papers have started to emerge in the literature examining various skills especially non-technical skills and teamworking in surgical teams on the one hand and their relationship with surgical performance on the other. The OR environment however has been conspicuously absent from these developments. The empirical evidence on the role of the OR environment in the safety and the quality of surgical care as proposed in the systems view is almost non-existent. In addition to the lack of empirical evidence conceptual thinking in relation to the OR environment and its contribution to the delivery of safe .