Can we Improve Patient Safety?
Despite greater awareness of patient safety issues especially in the operating room and the widespread implementation of surgical time out (WHO),errors, especially wrong site surgery, continue. Most such errors are due to lapses in communication where decision makers fail to consult or confirm opera...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2014-09-01
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| Series: | Frontiers in Pediatrics |
| Subjects: | |
| Online Access: | http://journal.frontiersin.org/Journal/10.3389/fped.2014.00098/full |
| _version_ | 1819050870449373184 |
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| author | Martin Thomas Corbally |
| author_facet | Martin Thomas Corbally |
| author_sort | Martin Thomas Corbally |
| collection | DOAJ |
| description | Despite greater awareness of patient safety issues especially in the operating room and the widespread implementation of surgical time out (WHO),errors, especially wrong site surgery, continue. Most such errors are due to lapses in communication where decision makers fail to consult or confirm operative findings but worryingly where parental concerns over the planned procedure are ignored or not followed through. The WHO surgical pause / Time Out aims to capture these errors and prevent them but the combination of human error and complex hospital environments can overwhelm even robust safety structures and simple common sense. Parents are the ultimate repository of information on their child's condition and planned surgery but are traditionally excluded from the process of Surgical pause and Time Out perhaps to avoid additional stress. In addition surgeons, like pilots, are subject to the phenomenon of plan continue fail with potentially disastrous outcomes. |
| first_indexed | 2024-12-21T11:54:55Z |
| format | Article |
| id | doaj.art-095a43256cab4266a114b4892c329ad8 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-12-21T11:54:55Z |
| publishDate | 2014-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-095a43256cab4266a114b4892c329ad82022-12-21T19:04:58ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602014-09-01210.3389/fped.2014.00098113196Can we Improve Patient Safety?Martin Thomas Corbally0RCSI and King Hamad University Hospital BahrainDespite greater awareness of patient safety issues especially in the operating room and the widespread implementation of surgical time out (WHO),errors, especially wrong site surgery, continue. Most such errors are due to lapses in communication where decision makers fail to consult or confirm operative findings but worryingly where parental concerns over the planned procedure are ignored or not followed through. The WHO surgical pause / Time Out aims to capture these errors and prevent them but the combination of human error and complex hospital environments can overwhelm even robust safety structures and simple common sense. Parents are the ultimate repository of information on their child's condition and planned surgery but are traditionally excluded from the process of Surgical pause and Time Out perhaps to avoid additional stress. In addition surgeons, like pilots, are subject to the phenomenon of plan continue fail with potentially disastrous outcomes.http://journal.frontiersin.org/Journal/10.3389/fped.2014.00098/fullPatient SafetyWHOWHO SURGICAL PAUSE/TIME OUTParental Involvement in Surgical Pause/Time OutSurgeon Step Back and Confirm |
| spellingShingle | Martin Thomas Corbally Can we Improve Patient Safety? Frontiers in Pediatrics Patient Safety WHO WHO SURGICAL PAUSE/TIME OUT Parental Involvement in Surgical Pause/Time Out Surgeon Step Back and Confirm |
| title | Can we Improve Patient Safety? |
| title_full | Can we Improve Patient Safety? |
| title_fullStr | Can we Improve Patient Safety? |
| title_full_unstemmed | Can we Improve Patient Safety? |
| title_short | Can we Improve Patient Safety? |
| title_sort | can we improve patient safety |
| topic | Patient Safety WHO WHO SURGICAL PAUSE/TIME OUT Parental Involvement in Surgical Pause/Time Out Surgeon Step Back and Confirm |
| url | http://journal.frontiersin.org/Journal/10.3389/fped.2014.00098/full |
| work_keys_str_mv | AT martinthomascorbally canweimprovepatientsafety |