Human Factors and Operating Room Design Challenges
System A (e.g. airline) System B (e.g. hospital) Feasibility of changing practice, procedures, and context of hospital to match airline The innovation Salient features currently used in System A?…
Surgical Safety in Developing Countries: Middle East, North Africa, and Gulf Countries
Country AEs rate/100 admissions (CI 95 %) % preventability (CI 95 %) % admissions resulting in death Egypt 6.0 (4.7–7.3) 72.5 (62.8–82.2) 1.25 Jordan 2.5 (2.0–2.9) 83.3 (75.7–90.9) 0.61 Morocco…
Use of Data from Surgical Registries to Improve Outcomes
Fig. 44.1 This figure depicts the intersecting domains of outcomes, quality, and safety In order to better care for patients and to be successful in today’s rapidly evolving healthcare environment…
Challenges in Preventing Electrical, Thermal, and Radiation Injuries
1. Monitoring (e.g., ECG, capnometry, pulse oximetry, nerve monitoring) 2. Patient warming and cooling 3. Surgical drills 4. Lasers 5. MR imaging 6. Fluoroscopy 7. Fiberoptic light sources. 8. Monitoring…
Safer Medication Administration Through Design and Ergonomics
(a) Unusual response or lack of response to drug administration: pounding heart, mental status changes, apnea, muscle weakness and visual disturbances (b) Extreme or unexpected increase or decrease in blood…
Executive Leadership and Surgical Quality: A Guide for Senior Hospital Leaders
Programs Details Link American Society for Quality Learning Institute ASQ delivers Lean Sigma training using D-M-A-I-C methodology with integrated Lean tools and techniques http://asq.org/healthcare-use/training/overview.html STEEEP Academy (safety, timeliness, efficacy, efficiency,…
Enterprise Risk Management in Healthcare
• Create and protect value • Be part of all processes • Be part of decision making • Be used to handle uncertainty • Be systematic and timely • Be based on the best data • Be…
Operating Room Management, Measures of OR Efficiency, and Cost-Effectiveness
Job title Facility type What is your biggest daily administrative challenge? OR Schedulera Academic Medical Center Predicting future busy caseload days to ramp up physician and nursing staff ahead of…
Failure to Rescue and Failure to Perceive Patients in Crisis
The five essential goals (5 Ps) of the microsystema 1. Purpose. What is the purpose of the clinical microsystem and how does that purpose fit within the overall vision? 2….
Future Directions of Surgical Safety
Fig. 53.1 The Donabedian Quality Triad. Donabedian theorized that the integration of all three elements of the triad is essential in assessing the delivery of care [21] Which measures best…
