1 0 7
D E C E M B E R 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
after. We recommend that in the exceptional cases in which patients
need supplemental oxygen from an open source, that you start with
30%. At that level, you're still providing extra oxygen, but the hazard
of a flash oxygen-enriched fire isn't present.
Q
A flash oxygen-enriched fire?
MB:
Flash fires are fires that occur when fine body hairs or
fuzz on towels catch on fire. They spread a ripple of flame
across your skin at a rate of about 10 feet a second. In other words,
they go from head to toe in less than one second.
Q
What fire-related questions should
surgical teams ask or address during time outs?
MB:
First, is
there a risk for surgi-
cal fire in this case?
The answer depends
on whether you're
using open oxygen or
a skin prep that con-
tains alcohol. If you're
using an alcohol-based
skin prep, the question
is, how are we going
to prevent pooling and
how are we going to
make sure that it's dry
before we drape? The
third question is, are
we using supplemental
O R F I R E S
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DELAYS
RETURNS TO
SURGERY
TRANSFER TO
HOSPITAL
POST-OP
PAIN
POST D/C
CARE
PAIN AT
HOME
PERCEIVED
EXCELLENCE
100
90
80
70
60
50
40
30
20
10
0
Complication
Delays Returns Transfer Post-Op Post D/C Pain at Perceived
to
Surgery to Hospital Pain Care Home Excellence
Benchmark 2.3% 4.8% 0.8% 1.2% 7.8% 99.4% 62.5% 89.9%
Your Center 1.0% 0.0% 0.0% 1.0% 5.5% 100.0% 72.8% 95.2%
Procedure-Specific Benchmarking
P
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R
C
E
N
T
A
G
E
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