Outpatient Surgery Magazine

Manager's Guide to Staff & Patient Safety - October 2015

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/579475

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Page 79 of 80

8 0 S U P P L E M E N T T O O U T P A T I E N T S U R G E R Y M A G A Z I N E O C T O B E R 2 0 1 5 What's the top safety challenge surgical facilities must address? It's still teamwork and communication. The OR is a fast- paced, high turnover environment with hazards all around. Being mindful of those risks and having effec- tive teamwork in place to mitigate them are critical. How can surgical professionals work better as a team? They need to treat patients emphatically and they need to treat their colleagues respectfully. If they don't work in a culture of respect, staff members might see risk, but they won't speak up about it. OR teams have to get to know caregivers in pre-op and PACU. They often have a myopic view of teamwork, which they think involves only the people who work in the OR. In reality, they're working in a team of teams. What is a "culture of safety" and what does it mean in the OR? It means the organization and all the people in it prioritize patient safety. They're constantly looking for things that could go wrong. There's an infrastructure that lets clinicians do their jobs. That sounds simple, but many ORs don't have the equipment or staff training needed to protect patients. Facilities with strong safety cultures have those things in place. T he Constant Quest for Zero Peter J. Pronovost, MD, PhD, FCCM Anesthesiologist and critical care physician dedicated to improving patient safety Dr. Pronovost (ppronovo@jhmi.edu) is senior vice presi- dent for patient safety and quality at Johns Hopkins Medicine in Baltimore, Md. He authored the book Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change Health Care from the Inside Out.

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