Outpatient Surgery Magazine

OR Excellence 2019 Awards - September 2019 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://outpatientsurgery.uberflip.com/i/1164519

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Page 31 of 144

actual events to run simulation training exercises, which teach the team to review how they can and should respond when simi- lar scenarios occur, as we have done with some of our root cause analyses here at Baylor College of Medicine. Exercises such as simulation training can provide physicians and medical staff members with cues about high vulnerability situations and remind them to focus more intently and listen to their inner voice, the one that tells them something doesn't feel quite right. The internal dialogue is ongoing, but without such training, providers may be more prone to ignore it. Teach members of your team to pay attention to their intuition. Tell them to pause when internal alerts sound, self-ana- lyze, speak up and take action if necessary. Cognitive training can also help teams respond to other cognitive distractions, even the errant breaks in routine that inevitably occur in the OR. The training would give surgeons, nurses, techs and anesthe- sia providers the tools they need to pause, refocus and reengage in the moment after distractions occur. Such lessons could be applied throughout all phases of patient care. Remember the oath For too long, young physicians and surgeons seem to have been inex- orably destined to make the same mistakes made by those who came before them. It's an important exercise to understand why these errors occur and to learn from them, but it may be even more valuable to train providers to recognize what leads to those errors in order to avoid them before they happen. OSM Dr. Rosengart (todd.rosengart@bcm.edu) is professor and chair of the Michael E. DeBakey Department of Surgery at Baylor College of Medicine in Houston, Texas. Safety S 3 2 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • S E P T E M B E R 2 0 1 9

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