Skip header and navigation

Refine By

79 records – page 1 of 8.

Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations.

https://arctichealth.org/en/permalink/ahliterature164254
Source
Ann Surg. 2007 Apr;245(4):526-32
Publication Type
Article
Date
Apr-2007
Author
Robert K Michaels
Martin A Makary
Yasser Dahab
Frank J Frassica
Eugenie Heitmiller
Lisa C Rowen
Richard Crotreau
Henry Brem
Peter J Pronovost
Author Affiliation
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Source
Ann Surg. 2007 Apr;245(4):526-32
Date
Apr-2007
Language
English
Publication Type
Article
Keywords
Canada
Clinical Protocols
Humans
Joint Commission on Accreditation of Healthcare Organizations
Medical Errors - prevention & control
Medical Laboratory Science
Risk factors
Safety
Safety Management - methods
Societies, Medical
Surgery Department, Hospital - organization & administration - standards
Surgical Procedures, Operative - standards
United States
United States Department of Veterans Affairs
Abstract
Review the evidence regarding methods to prevent wrong site operations and present a framework that healthcare organizations can use to evaluate whether they have reduced the probability of wrong site, wrong procedure, and wrong patient operations.
Operations involving the wrong site, patient, and procedure continue despite national efforts by regulators and professional organizations. Little is known about effective policies to reduce these "never events," and healthcare professional's knowledge or appropriate use of these policies to mitigate events.
A literature review of the evidence was performed using PubMed and Google; key words used were wrong site surgery, wrong side surgery, wrong patient surgery, and wrong procedure surgery. The framework to evaluate safety includes assessing if a behaviorally specific policy or procedure exists, whether staff knows about the policy, and whether the policy is being used appropriately.
Higher-level policies or programs have been implemented by the American Academy of Orthopaedic Surgery, Joint Commission on Accreditation of Healthcare Organizations, Veteran's Health Administration, Canadian Orthopaedic, and the North American Spine Society Associations to reduce wrong site surgery. No scientific evidence is available to guide hospitals in evaluating whether they have an effective policy, and whether staff know of the policy and appropriately use the policy to prevent "never events."
There is limited evidence of behavioral interventions to reduce wrong site, patient, and surgical procedures. We have outlined a framework of measures that healthcare organizations can use to start evaluating whether they have reduced adverse events in operations.
Notes
Cites: Anesthesiology. 2006 Nov;105(5):877-8417065879
Cites: Health Serv Res. 2006 Aug;41(4 Pt 2):1599-61716898981
Cites: J Crit Care. 2003 Jun;18(2):71-512800116
Cites: J Bone Joint Surg Am. 1998 Apr;80(4):4639563374
Cites: Crit Care Clin. 2005 Jan;21(1):1-19, vii15579349
Cites: Reg Anesth Pain Med. 2005 Jan-Feb;30(1):99-10315690274
Cites: J Bone Joint Surg Am. 2005 Oct;87(10):2193-516203882
Cites: Pediatrics. 2005 Dec;116(6):1506-1216322178
Cites: Jt Comm J Qual Patient Saf. 2006 Feb;32(2):102-816568924
Cites: Ann Intern Med. 2006 Apr 4;144(7):510-616585665
Cites: Arch Surg. 2006 Apr;141(4):353-7; discussion 357-816618892
Cites: Ann Surg. 2006 May;243(5):628-32; discussion 632-516632997
Cites: Jt Comm J Qual Patient Saf. 2006 Jun;32(6):351-516776390
Cites: Crit Care Med. 2006 Jul;34(7):1988-9516715029
Cites: JAMA. 2006 Aug 9;296(6):696-916896113
Cites: J Bone Joint Surg Am. 2003 Feb;85-A(2):193-712571293
PubMed ID
17414599 View in PubMed
Less detail

Acute care surgery: a new strategy for the general surgery patients left behind.

https://arctichealth.org/en/permalink/ahliterature144682
Source
Can J Surg. 2010 Apr;53(2):84-5
Publication Type
Article
Date
Apr-2010
Author
Chad G Ball
S Morad Hameed
Frederick D Brenneman
Author Affiliation
Department of Surgery, Indiana University, Indianapolis, IN, USA. ball.chad@gmail.com
Source
Can J Surg. 2010 Apr;53(2):84-5
Date
Apr-2010
Language
English
Publication Type
Article
Keywords
Canada
Emergency Service, Hospital - organization & administration
General Surgery
Humans
Models, organizational
Outcome and Process Assessment (Health Care)
Quality Assurance, Health Care
Surgery Department, Hospital - organization & administration
Traumatology
Notes
Cites: J Trauma. 2003 Apr;54(4):795-712707548
Cites: J Trauma. 2005 Mar;58(3):614-615761359
Cites: Ann Emerg Med. 2009 Feb;53(2):198-20718439724
Cites: Am Surg. 2007 Feb;73(2):157-6017305294
Cites: Surgery. 2007 Mar;141(3):297-817349834
Cites: J Am Coll Surg. 2006 Apr;202(4):655-6716571438
PubMed ID
20334739 View in PubMed
Less detail

[A digital diary for diagnostic lists].

https://arctichealth.org/en/permalink/ahliterature219830
Source
Tidsskr Nor Laegeforen. 1993 Nov 20;113(28):3486-7
Publication Type
Article
Date
Nov-20-1993
Author
L. Efskind
Source
Tidsskr Nor Laegeforen. 1993 Nov 20;113(28):3486-7
Date
Nov-20-1993
Language
Norwegian
Publication Type
Article
Keywords
Classification
Databases, Factual
Diagnosis
Humans
Norway
Registries
Surgery Department, Hospital - organization & administration
PubMed ID
8273084 View in PubMed
Less detail

[Analysis of hospital orthopedic services for children in a large city].

https://arctichealth.org/en/permalink/ahliterature238306
Source
Ortop Travmatol Protez. 1985 Oct;(10):45-7
Publication Type
Article
Date
Oct-1985

[An EDP program for distribution of patients at a surgical department].

https://arctichealth.org/en/permalink/ahliterature229435
Source
Ugeskr Laeger. 1990 Mar 19;152(12):820-3
Publication Type
Article
Date
Mar-19-1990
Author
K. Larsen
J G Buus
Source
Ugeskr Laeger. 1990 Mar 19;152(12):820-3
Date
Mar-19-1990
Language
Danish
Publication Type
Article
Keywords
Automatic Data Processing
Bed Occupancy
Denmark
Hospital Departments - organization & administration
Humans
Patient Admission
Software
Surgery Department, Hospital - organization & administration
Waiting Lists
Abstract
A computer programme is described which can undertake automatic distribution of patients referred for elective surgery. The programme ensures coordinated reservation of operation and bed resources. The programme provides copies of admission and operation lists to the departments concerned and, similarly, it writes out distribution lists and summoning letters. The programme provides statistics for use in planning of resources and statistics with waiting lists according to diagnoses and the time of waiting. The programme is protected from illegal employment by unauthorized users as typing of the identity of the user and a personal code word are required. The programme fulfills the requirements to a register made by the supervision of registers concerning registers which contain very sensitive personal information.
PubMed ID
2316041 View in PubMed
Less detail

Attending surgeon burnout and satisfaction with the establishment of a regional acute care surgical service.

https://arctichealth.org/en/permalink/ahliterature122040
Source
Can J Surg. 2012 Oct;55(5):312-6
Publication Type
Article
Date
Oct-2012
Author
Ramzi M Helewa
Ramin Kholdebarin
David J Hochman
Author Affiliation
The Department of Surgery, University of Manitoba, Winnipeg, Manitoba, Canada.
Source
Can J Surg. 2012 Oct;55(5):312-6
Date
Oct-2012
Language
English
Publication Type
Article
Keywords
Adult
Burnout, Professional - epidemiology
Cross-Sectional Studies
Female
General Surgery - organization & administration
Humans
Job Satisfaction
Male
Manitoba - epidemiology
Medical Staff, Hospital - psychology - statistics & numerical data
Middle Aged
Questionnaires
Surgery Department, Hospital - organization & administration
Workload
Abstract
Establishment of the Acute Care Surgical Service (ACSS) has dramatically changed the management of acute, nontrauma surgical patients in Winnipeg, Manitoba. Its formation was partially driven by increasing strain on surgeons and surgical services. We sought to determine surgeon level of burnout and satisfaction with the ACSS.
All Winnipeg ACSS surgeons were mailed surveys. Burnout was established using the Maslach Burnout Inventory Human Services Survey. Satisfaction was ascertained with a series of questions.
We attained a response rate of 76%. Most surgeons were married men with children. A burnout level of 61% was determined. Although most surgeons felt the ACSS was a positive change in their careers, they felt that operating room accessibility and teaching opportunities were lacking.
Although a high level of burnout exists among ACSS surgeons, most are satisfied with its establishment. Factors such as operating room accessibility and teaching opportunities must be addressed.
Notes
Cites: Surgery. 2001 Oct;130(4):696-702; discussion 702-511602901
Cites: J Surg Educ. 2011 Jul-Aug;68(4):290-321708365
Cites: Br J Surg. 1990 Oct;77(10):1154-82224465
Cites: Transplant Proc. 2005 Mar;37(2):1399-40115848732
Cites: Am J Surg. 2005 Jul;190(1):141-615972188
Cites: Ann Surg Oncol. 2007 Nov;14(11):3043-5317828575
Cites: ANZ J Surg. 2009 Jan-Feb;79(1-2):12-819183372
Cites: Am J Surg. 2009 Jun;197(6):721-718926517
Cites: J Am Coll Surg. 2009 Aug;209(2):160-919632592
Cites: Ann Surg. 2009 Sep;250(3):463-7119730177
Cites: J Am Coll Surg. 2009 Oct;209(4):421-419801314
Cites: Can J Surg. 2010 Apr;53(2):79-8320334738
Cites: Can J Surg. 2010 Apr;53(2):84-520334739
Cites: Med Educ. 2010 Mar;44(3):236-4720444054
Cites: Ann Surg. 2010 Jun;251(6):995-100019934755
Cites: South Med J. 2010 Aug;103(8):758-6320622724
Cites: J Bone Joint Surg Am. 2004 Jul;86-A(7):1579-8615252111
PubMed ID
22854111 View in PubMed
Less detail

[Beware of the surgery at small hospitals!...or?].

https://arctichealth.org/en/permalink/ahliterature218605
Source
Lakartidningen. 1994 Mar 9;91(10):926, 931-2
Publication Type
Article
Date
Mar-9-1994

Causes of cancellations on the day of surgery at two major university hospitals.

https://arctichealth.org/en/permalink/ahliterature150820
Source
Surg Innov. 2009 Jun;16(2):173-80
Publication Type
Article
Date
Jun-2009
Author
Andreas R Seim
Tom Fagerhaug
Sveinung M Ryen
Paige Curran
Ola D Saether
Hans O Myhre
Warren S Sandberg
Author Affiliation
Department of Computer and Information Science, Norwegian University of Science and Technology, Trondheim, Norway. andreas.seim@sintef.no
Source
Surg Innov. 2009 Jun;16(2):173-80
Date
Jun-2009
Language
English
Publication Type
Article
Keywords
Appointments and Schedules
Hospital Bed Capacity
Hospitals, University
Humans
Norway
Personnel Management
Retrospective Studies
Risk factors
Surgery Department, Hospital - organization & administration
Surgical Procedures, Elective - statistics & numerical data
United States
Abstract
Cancellations of elective cases on the day of surgery waste valuable operating-room time. The authors studied cancellations at an American hospital and a Norwegian university hospital to test (a) whether the quality of hospital administrative data on cancellations is sufficient for meaningful comparative analysis and (b) whether causes of cancellations at these 2 major academic hospitals are comparable. Large retrospective cause-of-cancellation data sets were obtained from each hospital. The authors then prospectively established root causes of cancellations by on-site investigation and interviews of the hospital personnel involved. The surgical department at the Norwegian hospital cancelled 14.58% of cases in 2003 and 16.07% in 2004. The American hospital cancelled 16.52% of all cases between May 1, 2003, and April 30, 2004. Administrative data may give a rough picture of causes of cancellations. However, most findings at either of the hospitals do not translate easily to the other.
PubMed ID
19460816 View in PubMed
Less detail

[Centralisation of vascular surgical treatment provides better results].

https://arctichealth.org/en/permalink/ahliterature169570
Source
Ugeskr Laeger. 2006 Apr 10;168(15):1521-4
Publication Type
Article
Date
Apr-10-2006
Author
Leif Panduro Jensen
Author Affiliation
Karkirurgisk Afdeling B, Amtssygehuset i Gentofte, Hellerup. lpj@dadlnet.dk
Source
Ugeskr Laeger. 2006 Apr 10;168(15):1521-4
Date
Apr-10-2006
Language
Danish
Publication Type
Article
Keywords
Aortic Aneurysm, Abdominal - surgery
Carotid Stenosis - surgery
Centralized Hospital Services - organization & administration - standards - statistics & numerical data
Clinical Competence
Denmark
Humans
Ischemia - surgery
Leg - blood supply
Surgery Department, Hospital - organization & administration - standards - statistics & numerical data
Treatment Outcome
Vascular Surgical Procedures - methods - standards - statistics & numerical data
Abstract
The relation between higher hospital and surgeon volume for better results after vascular surgery has been documented in some areas. In the case of surgery for stenosis of the carotid artery surgeon volume has been found to be inversely related to the postoperative frequency of stroke and death (low volume
PubMed ID
16640970 View in PubMed
Less detail

79 records – page 1 of 8.