Outpatient Surgery Magazine

No More Never Events - February 2014 - 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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3 6 O U T P AT I E N T S U R G E R Y M A G A Z I N E O N L I N E | F E B R U A R Y 2 0 1 4 because people call it cookbook medicine," Mr. Byrum acknowledges. "The greatest barrier to adopting high-reliability organization (HRO) principles and practices is a cultural hierarchy where autonomy is a core value. Physicians complain that tools like checklists detract from their autonomy and lack a personal touch. But these objections aren't only dangerous, they're absurd. If you have the opportunity to choose between an OR that can statistically ensure greater safety by using HRO principles and one that can't, which would you choose? It's a moral obligation to significantly decrease the chance for human error." For some providers, however, the choice may not be quite that clear-cut. "They're not saying I don't care about this," says Dr. Ring. "They're just doing it in a less stringent way because they've gotten used to doing it that way. I do see things changing, although probably slower than most people want. More and more, people are saying things are going to happen. That doesn't mean you're a bad surgeon or a bad person and it doesn't mean you're reckless or careless — so let's build the systems and coach people and give them feedback to make sure surgeons are as safe as possible." "There isn't a person in the world that isn't capable of making an error, given a sufficient number of distractions or communication breakdowns," says Mr. Byrum. "You're not always at your absolute best, so why wouldn't you have a system in place that would catch and correct the error before you put yourself and your patient at risk." "The right mindset is humility," sums up Dr. Ring. "You just know you're going to make mistakes. As smart as you are, as focused as you are, as trained as you are, there are things that will distract you, there are ways to lose focus." P R E - O P S A F E T Y OSE_1402_part2_Layout 1 2/6/14 2:56 PM Page 36

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