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Handbook of Perioperative and Procedural Patient Safety, 1st Edition

ISBN: 9780323661799
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Διαστάσεις 24 × 19 cm
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Περιγραφή

Offering a concise yet comprehensive review of current practices in surgery and patient safety, Handbook of Perioperative and Procedural Patient Safety is an up-to date, practical resource for practicing surgeons, anesthesiologists, surgical nurses, hospital administrators, and surgical office staff. Edited by Drs. Juan A. Sanchez and Robert S. D. Higgins and authored by expert contributors from Johns Hopkins, it provides an expansive look at the scope of the problem, causes of error, minimizing errors, surgical suite and surgical team design, patient experience, and other related topics.

Key Features
  • Presents the knowledge and experience of a multidisciplinary team from Johns Hopkins University, which created the Comprehensive Unit-based Safety Program (CUSP), an approach for improving safety culture and engaging frontline clinicians to identify and mitigate defects in care delivery.
  • Discusses the scope and prevalence of perioperative harm, causes of error in healthcare, and perioperative never events.
  • Covers safe practices, cognitive workload and fatigue, and the effects of noise in the OR.
  • Includes several team-based chapters such as the dynamics of surgical teams, safer perioperative team communication, and the culture of safety.
  • Consolidates today’s available information and guidance into a single, convenient resource.

Περιεχόμενα

  • Cover image
  • Title page
  • Table of Contents
  • Copyright
  • Dedication
  • Contributors
  • Preface
  • Chapter 1. The science of human error
  • What is human error?
  • Human error and healthcare
  • Person approach versus the system approach 9
  • Swiss cheese model
  • Case study
  • Active failures and latent conditions
  • Summary
  • Chapter 2. The scope and prevalence of perioperative harm
  • The scope of perioperative care
  • The prevalence of perioperative harm
  • Patient safety initiatives to reduce perioperative harm
  • Recommendations to advance perioperative practice
  • Chapter 3. Systems thinking in the operating room
  • Introduction
  • Systems approach
  • Conclusion
  • Chapter 4. Culture of safety
  • Background
  • Definitions
  • Tenets of safety culture
  • Chapter 5. Dynamics of surgical teams
  • Team components and responsibilities
  • Traditional approach
  • Careful planning
  • Communication
  • Coordination
  • Collaboration
  • Training
  • Critical care handoff
  • Summary
  • Chapter 6. Structured perioperative team communication
  • The need for structured and effective perioperative team communication
  • The Joint Commission’s surgical time-out
  • The World Health Organization’s surgical checklists
  • Preoperative briefings
  • Postoperative debriefings
  • Handoffs to next level of care
  • Tools to implement structured and effective communication
  • Future directions
  • Chapter 7. Human factors and ergonomics in the operating room
  • Defining human factors and ergonomics
  • Human factors and ergonomics in healthcare
  • The effects of poor physical ergonomics
  • Physical ergonomic considerations and recommendations
  • Chapter 8. Prehabilitation and enhanced recovery after surgery
  • Introduction
  • Prehabilitation: preoperative ERAS elements
  • Intraoperative ERAS elements
  • Postoperative ERAS elements
  • Benefits of ERAS protocols
  • Implementation of an ERAS protocol
  • Conclusion
  • Chapter 9. Preoperative preparation of the surgical patient
  • Comorbidities
  • Medication management
  • Conclusion
  • Chapter 10. Designing safe procedural sedation: adopting a resilient culture
  • Introduction
  • Preprocedural assessment
  • Preprocedural airway assessment
  • Levels of sedation
  • Patient selection and screening
  • Medications used for sedation (Table 10.11)
  • Monitoring
  • Human error, performance limitations, and complications
  • Postprocedural care
  • Applying human factors in the clinical environment
  • Chapter 11. Enhancing medication safety during the perioperative period
  • Introduction
  • Medication safety hazards and risk management during the perioperative period (Fig. 11.1)
  • Conclusions, unmet needs, and future research directions
  • Chapter 12. Surgical site and other acquired perioperative infections
  • Introduction
  • Definition of healthcare-associated infections
  • Surgical site infections
  • Other healthcare-associated infections
  • Reducing infectious complications requires an interprofessional approach
  • Conclusion
  • Chapter 13. Occupational well-being, resilience, burnout, and job satisfaction of surgical teams
  • Perioperative teams
  • Work climate
  • The power of motivation
  • The importance of job satisfaction in perioperative team members
  • Role of personality
  • Burnout and physical health
  • Fatigue and medical errors
  • Sustainable employability and its impact on occupational wellness and joy at work
  • Chapter 14. Redesigning the operating room for safety
  • Why design matters?
  • Is there an optimal OR design?
  • Components of an OR
  • Future directions
  • Chapter 15. A perioperative safety and quality change management model and case study: Muda Health
  • Introduction
  • Case study
  • What was done?
  • High reliability organization (HRO) framework for surgery quality improvement (Fig. 15.3)
  • How was the quality improvement activity implemented?
  • Description of the quality improvement activity
  • Quality guiding principles adopted by Muda Health leadership and staff
  • New governance structure and timeline for perioperative services transformation (Appendix I, II, III, IV, V)
  • Designing the new workflow
  • Admissions into surgical services
  • Internal transitions
  • Patient family/friends care
  • Scheduling of staff and surgical suites
  • Supplies
  • Sterilization
  • Surgical preparation
  • Physician preparation
  • Keeping score—construction of the data scorecards and leadership dashboards
  • Key components of a balanced scorecard approach
  • Training of the MH staff, clinicians and leadership (Appendix IX)
  • Communications and messaging—internal and external
  • Cost savings
  • Tips for others planning surgical quality improvement initiatives
  • Conclusions—path toward high reliability and safe surgical care
  • List of appendices
  • Appendix I. Team roles
  • Appendix II. Before–during–after (BDA) surgery project charters
  • Appendix III. Meeting location and team etiquette
  • Appendix IV. Identify the process(es) and scope
  • Appendix V. Proposed timeline for a perioperative improvement project
  • Appendix VI. BDA reports to the leadership steering team
  • Appendix VII. Recommendations for the before surgery, during surgery, after surgery teams
  • Appendix VIII. Analyzing add-on surgical cases deep dive (pg. 309–323)
  • Appendix IX. Kaizen training to ready the MH staff and clinicians for the project
  • Index