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 3 F E B R U A R Y 2 0 1 4 | 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 reason, other variables have been introduced — a distraction, a delay or something like that. And when they resume, there's a wrong site or wrong procedure." What kinds of distractions? "Unfortunately, around the country there have been multiple reports of people doing time outs with everybody else on their phones, checking e-mails, texting, looking at Facebook or whatever," says Peter Papadakos, MD, of the University of Rochester (N.Y.) Medical Center. "People can be distracted by work-related stuff, too, people on the computer, finishing up the pre- op on the EMR and going, 'Uh-huh, uh-huh,' but their back is turned. Or maybe the anesthesiologist is still completing the anesthetic record, that kind of thing." Donna Ford, MSN, RN-BC, CNOR, a nursing education specialist at the Mayo Clinic in Rochester, Minn., recommends asking if everyone is ready for the time out, and waiting until everyone says yes. "If a cir- P R E - O P S A F E T Y and respect what that person is saying," says Mr. Byrum. "One real chal- lenge that we have is when the person speaks up and their concern is immediately squashed or dismissed. The likelihood of that person ever speaking up again, especially on that surgical team but maybe in any context, will be reduced." That's exactly why David Ring, MD, goes out of his way to make sure people voice any concerns. "In the operating room, people will speak up — a nurse, a resident, an anesthesiologist – and say, hey, what about this. And 99 times out of 100 you meant to do it that way and it's fine," he says. "But I always say thanks for speaking up: I mean to do it this way, but I'm glad you spoke up because if I weren't supposed to do it this way, you would have really saved me from making a mistake." — Jim Burger OSE_1402_part2_Layout 1 2/6/14 2:56 PM Page 33

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