Tags Archives: safety

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Labeled surgical caps improve perioperative patient safety and interprofessional communication in the operating room: a scoping review

Abstract Background Effective communication is critical for patient safety and surgical outcomes inside the operating room (OR). Labeled surgical caps have been proposed as a strategy to improve intraoperative communication..

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Consequences of a toxic workplace environment on psychological safety in anaesthesia and intensive care

Abstract BACKGROUND  Toxic workplace environments in healthcare, characterised by discrimination, bullying, poor communication, and lack of support, have a negative effect on physicians’ well-being and patient safety. Anaesthesiologists and intensivists..

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Lucian Leape’s legacy for patient safety

Abstract In losing Lucian Leape to heart failure last 30 June, at the age of 94 years, we lost a rare physician whose insights fundamentally changed how clinicians and the..

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Leveraging the perfusionist-surgeon dyad to improve the culture of safety

Abstract The cardiac surgical operating room is a complex, high risk environment dependent on efficient teamwork and communication between multiple role groups to deliver safe and effective care. As awareness..

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Smart technologies and digital innovations for improving perioperative patient safety: a review

Abstract Background Smart digital technologies are rapidly transforming perioperative care through tools such as clinical decision support systems, wearable sensors, and electronic checklists. Despite growing adoption, their specific impact on..

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Evaluation of Knowledge, Attitudes, and Experiences of Perfusionists on the Safety of Cardiopulmonary Perfusion

Abstract Introduction Perfusion accidents still threaten the safety of perfusion during open-heart surgery. To prevent these accidents and increase perfusion safety, it is important to first determine the profile of..

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“One family, one patient”: a human-centered approach to safety in the operating room

Abstract The operating room is often viewed as a high-stakes, technical, and intensely specialized environment. While clinical precision and technological advancements have greatly improved surgical outcomes, one critical element remains..

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Open-access healthcare debriefing videos need to incorporate more Safety-II learnings

Abstract Background Patient safety science and debriefing approaches have historically tended to focus most heavily on Safety-I or “why things go wrong” and learning from unfavorable performance, root cause of..

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Do healthcare professionals work around safety standards, and should we be worried? A scoping review

Abstract Background Healthcare staff adapt to challenges faced when delivering healthcare by using workarounds. Sometimes, safety standards, the very things used to routinely mitigate risk in healthcare, are the obstacles that..

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Aseptic Techniques in the Setup of Cardiopulmonary Bypass: Ensuring Safety in Cardiac Surgery

Introduction: Cardiac surgery is among the most delicate and high-risk procedures in modern medicine, and the use of cardiopulmonary bypass (CPB) is central to its success. In this complex setting,..

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How unprofessional behaviours between healthcare staff threaten patient care and safety

Abstract Introduction Unprofessional behaviors (UB) such as bullying and incivility among healthcare staff are a significant and pervasive issue, impacting staff wellbeing, and patient safety and experiences of care. Despite..

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Multicenter Analysis of the Relationship Between Operative Team Familiarity and Safety and Efficiency Outcomes in Cardiac Surgery

Abstract BACKGROUND: Safety in cardiac surgical procedures is predicated on effective team dynamics. This study associated operative team familiarity (ie, the extent of clinical collaboration among surgical team members) with..

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Impact of a Daily Huddle on Safety in Perioperative Services

Abstract Background Communication failures contribute to quality gaps and may lead to serious safety events (SSEs) in the operating room (OR). Our perioperative services team experienced an increased rate of..

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Global Perfusion Practice Survey: Readiness of On-Call and Emergency Operation Rooms

Abstract Introduction Perfusion safety in cardiac surgery is vital, and this survey explores perfusion practices, perspectives, and challenges related to it. Specifically, it examines the readiness of on-call and emergency..

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Psychological safety in an ECMO retrieval team: a qualitative study to inform improvement

Abstract Introduction In healthcare teams, psychological safety is associated with improved performance, communication, collaboration and patient safety. Extracorporeal membrane oxygenation (ECMO) retrieval teams are multidisciplinary teams that initiate ECMO therapy for..

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Exploring Perfusion Safety: A Review of Clinical and Non-Clinical Factors with Emphasis on Quality Improvement

Abstract This literature review examines perfusion safety in cardiothoracic surgery, with a primary focus on cardiopulmonary bypass (CPB) and circulatory devices. PRISMA guidelines were followed and various databases, including PubMed,..

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Positive approaches to safety: Learning from what we do well

Abstract Historical and current methodologies in patient safety are based on a deficit-based model, defining safety as the absence of harm. This model is aligned with the human innate negativity..

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A real-time analysis of intraoperative interruptions in relation to use of simple preventive measures including a sign on the door…

Abstract This study aimed to evaluate intraoperative interruptions by frequency, type, interference and source, and preventive measures. The interruptions in the operating theatre were evaluated for 52 surgical procedures based..

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Modular minimally invasive extracorporeal circulation ensures perfusion safety and technical feasibility in cardiac surgery; a systematic review of the literature

Abstract Introduction: Despite extensive evidence that shows clinical of superiority of MiECC, worldwide penetration remains low due to concerns regarding air handling and volume management in the context of a..

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Computer Vision in the Operating Room: Opportunities and Caveats

Abstract Effectiveness of computer vision techniques has been demonstrated through a number of applications, both within and outside healthcare. The operating room environment specifically is a setting with rich data..

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Current Evidence and Future Directions of Tranexamic Acid Use, Efficacy, and Dosing for Major Surgical Procedures

Abstract Tranexamic acid reduces blood loss and transfusion requirements with no significant thrombotic adverse effects. Postoperative seizures have been seen in cardiac surgical patients in association with patient (advanced age,..

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Impact of Crystalloid or Albumin Priming of the Heart–Lung Machine on Inhospital Outcome after Coronary Artery Bypass Surgery

Abstract Background Crystalloid priming is a cost-effective, free from immunological reactions, and independent from human plasma delivery. However, there is some debate on the negative impact of low plasma colloid..

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Writing’s on the Wall: Improving the Who Surgical Safety Checklist

Abstract Background and problem  The WHO Surgical Safety Checklist has been shown to improve patient safety as well as improving teamwork and communication in theatres. In 2009, it was made..

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A 2-year multicenter, observational, prospective, cohort study on extracorporeal CO2 removal in a large metropolis area

Abstract Background Extracorporeal carbon dioxide removal (ECCO2R) is a promising technique for the management of acute respiratory failure, but with a limited level of evidence to support its use outside..

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Optimizing patient care and outcomes through the congenital heart center of the 21st century

Abstract Pediatric cardiovascular services are responding to the dynamic changes in the medical environment, including the business of medicine. The opportunity to advance our pediatric cardiology field through collaboration is..

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