0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Invited Critique |

Finding the Problems Before Fixing Them: The Culture of Perioperative Safety:   Comment on “A Systematic Quantitative Assessment of Risks Associated With Poor Communication in Surgical Care”

Richard J. Bold, MD
Arch Surg. 2010;145(6):589. doi:10.1001/archsurg.2010.85.
Text Size: A A A
Published online

Extract

Although some may argue about the exact number of Americans who die or experience preventable complications as a result of the delivery of health care, all stakeholders are in agreement that there are opportunities to improve the safety of health care delivery and to reduce errors. Only recently has there been objective assessment of the specific points in patient care that are susceptible to error; failure of communication in the perioperative period has been implicated as one of the most significant causes of errors (real or potential).1,2 In response to this, many have adapted and subsequently adopted checklists and resource management principles from the aerospace industry, in which flight safety has clearly been shown to improve adherence to standardized protocols and communication training.3 Nagpal et al used the HFMEA tool to evaluate specific points in the delivery of surgical health care that are prone to errors. This process was labor intensive and will not be generalizable to all patients, procedures, or health care environments. However, we now have the opportunity to quantitatively evaluate interventions directed toward improving safety before actual harm comes to the patient.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles
Jobs
brightcove.createExperiences();