Tag Archive for ‘patient safety’

Surgeon

Evolving insights for preventing surgeon errors: Balancing professionalism and cognition with knowledge and skill

This month’s cover story outlines how cognition and self-reflection affect performance and outcomes and provides a sample case describing how behavioral factors likely contributed to an adverse event.

Cell phone texting

The Joint Commission clarifies stance on secure text messaging of patient care orders

The Joint Commission discourages secure texting of patient care orders for several reasons, including the increased burden of entering the information manually into the electronic health record.

ERAS

ACS launches AHRQ Safety Program for ERAS

The American College of Surgeons (ACS), in collaboration with the Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality, Baltimore, MD, has launched the AHRQ (Agency for Healthcare Research and Quality) Safety Program for Enhanced Recovery after Surgery (ERAS). This new surgical quality improvement program is funded and guided by AHRQ. The AHRQ Safety […]

Umbrella

How do we improve patient safety? A look at the issues and an interview with Dr. Britt

In his welcoming remarks at the 40th annual meeting of the Association of Veterans Administration Surgeons (AVAS) in April 2016, L. D. Britt, MD, MPH, DSc(Hon), FACS, FCCM, FRCSEng(Hon), FRCSEd(Hon), FWACS(Hon), FRCSI(Hon), FCS(SA)(Hon), FRCSGlasg(Hon), Past-President of the American College of Surgeons (ACS), expressed concern that surgeons have made little progress in the prevention of adverse […]

Dr. Britt

Conversation with Dr. Britt

Dr. Britt, ACS Past-President, shares his views on the state of patient safety in an interview with Dr. Lipshy.

Deposition

The art of the deposition: Teaching residents about medical liability

This article describes a program at Maricopa Medical Center aimed at preparing residents for medical liability litigation and defines lessons learned for developing a program that prepares students for the possibility of being deposed in a liability lawsuit.

Figure 1. Comprehensive Cardiac Center Certification domains

Joint Commission now offering Comprehensive Cardiac Center Certification

The scope-of-care requirements for the Comprehensive Cardiac Center Certification program, which helps facilities offer a complete range of high-quality services for cardiac patients, is the focus of this month’s column.

Letters-to-the-editor

Letters to the Editor

The following comments were received regarding recent articles published in the Bulletin.

Meeting attendees

TQIP annual meeting continues to advance quality trauma care

Topics covered at the 2016 TQIP meeting in Orlando, FL, are summarized, including practice guidelines for palliative care,  the ACS TQIP Collaboratives program, and lessons learned from the Pulse nightclub mass casualty event.

cognitive-biases

Cognitive biases can lead to serious patient safety events

Preventative actions to mitigate the effects of cognitive bias, which can be attributed to diagnostic errors in health care, are summarized in this month’s column.

Dr. Meshkati and Dr. Pellegrini, with a plaque commemorating the Codman memorial

Ernest Amory Codman Award honoree furthers quality improvement mission

Najmedin Meshkati, PhD, a professor of civil/environmental engineering, industrial and systems engineering, and international relations, was the recipient of the Ernest Amory Codman Award this year.

M. Boyd Gillespie, MD, MSc, FACS, performing the first Inspire Upper Airway Stimulation device implantation in South Carolina since its FDA approval in April 2014. Dr. Gillespie was assisted by otolaryngology–head and neck surgery residents and fellows wearing various types of OR attire at the Medical University of South Carolina.

Looking forward – October 2016

Dr. Hoyt’s column describes the importance of professional operating room attire and summarizes key protocols, such as proper covering of the head during invasive procedures, supported by College leadership.

Figure 3

Young surgeons speak up: Stringent OR attire restrictions decrease morale without improving outcomes

The results of a study assessing surgeons’ reactions to operating room attire restrictions conducted by the YFA of the ACS are described in this article, as are the possible effects of these restrictions on patient safety.

Statement on distractions in the operating room

The following statement on distractions in the operating room was developed by the ACS Committee on Perioperative Care and approved by the ACS Board of Regents at its June 2016 meeting.

Statement on documentation and reporting of accidental punctures and lacerations during surgery

The following statement on documenting and reporting of accidental punctures and lacerations during surgery  was developed by the ACS Committee on Perioperative Care and approved by the ACS Board of Regents at its June 2016 meeting.

Statement on operating room attire

The following statement on operating room attire was developed by the ACS task force on operating room attire and approved by the ACS Board of Regents at its July 2016 meeting.

Revised statement on health care industry representatives in the operating room

The revised statement on health care industry representatives in the operating room was developed by the ACS Committee on Perioperative Care  and approved by the ACS Board of Regents at its June 2016 meeting.

Revised statement on the prevention of unintentionally retained surgical items after surgery

The revised statement on the prevention of unintentionally retained surgical items was developed by the ACS Committee on Perioperative Care  and approved by the ACS Board of Regents at its June 2016 meeting.

Revised statement on safe surgery checklists, and ensuring correct patient, correct site, and correct procedure surgery

The revised statement on safe surgery checklists and correct patient, site, and procedure was developed by the ACS Committee on Perioperative Care and approved by the ACS Board of Regents at its June 2016 meeting.

Workplace bullying is a real problem in health care

This month’s column underscores the challenges related to bullying and workplace violence and its effect on patient care.

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