Outpatient Surgery Magazine

Back To Work - June 2020 - 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.

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Page 106 of 116

ies, particularly those performed at the cervical-thoracic junction. Using a three-dimensional CT scan instead of an X-ray in the OR does- n't change the need to localize the surgery site and count to confirm you've located it correctly. However, the images do improve my visu- alization during all steps of the procedures, and I haven't had a single wrong-site event thanks to my ability to properly identify the correct spine level during these challenging cases. Focus on the fundamentals Although advanced technologies can be invaluable in helping surgical teams prevent wrong-site surgery during spine cases, the most repro- duceable solution is the localization time outs. There's no big cost associated with performing several time outs during a procedure to confirm the correct site. All it takes is a culture change. Anybody can make a mistake, but it's hard to imagine multiple members of the sur- gical team making the exact same counting error if there's a culture in place that empowers everyone in the OR to speak up to ensure the surgeon is zeroing in on the right site. OSM J U N E 2 0 2 0 • O U T P A T I E N T S U R G E R Y . N E T • 1 0 7 The biggest factor that contributes to surgeons counting to the wrong vertebrae is the poor quality of intraoperative images. Dr. Qureshi (qureshi2@hhs.edu) is the Patty and Jay Baker endowed chair in minimally invasive spine surgery at the Hospital for Special Surgery and an associate professor of orthopedic surgery at Weill Cornell Medical College in New York City.

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