Outpatient Surgery Magazine

The Power to Prevent SSIs - June 2017 - 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.

Issue link: http://outpatientsurgery.uberflip.com/i/836658

Contents of this Issue


Page 62 of 132

Dr. Haynes likens surgery to another high-risk profession — aviation — where an instance of someone lacking the courage to speak up could lead to unimaginable disaster. "A co-pilot may be aware that the pilot is ready to fly the plane into the ground, but he's not willing to issue a challenge," he says. "That's rooted in issues pertaining to cul- ture and hierarchy, and it has nothing to do with common sense." Spence Byrum appreciates the aviation analogy. He's the president and CEO of HRS Consulting, a Weston, Fla.-based firm founded to help the airline industry improve communication and safety. The firm has since branched out to health care, helping surgical facilities bring similar disciplines to the OR. "In aviation and in surgery, all the risks are the same, and all the challenges are the same," he says. "You have a limited number of individuals tasked with performing tasks where lives are on the line, working in environments with constantly changing informa- tion. So many things could go wrong." That's why adequate pre-procedures are so essential. In aviation, pilots have a team of individuals around them to alert them to poten- tial problems (see "What Safety Lessons Can ORs Learn from the Airlines?" on p. 39). Why should surgery be any different? "An organization has to clearly and explicitly tell its employees that they are expected to speak up if they see something wrong," says Mr. Byrum. "Part of it is teaching employees when to say it, how to say it. You also can't take away the responsibility of the decision maker, because he has to be able to receive the information and assimilate it to determine how to proceed, and all that happens in just a few sec- onds." Mr. Byrum suggests surgical facility leaders teach staff to take a straightforward, multi-step approach to speaking up when they see something that could become a problem: Get the decision maker's J U N E 2 0 1 7 • O U T PA T I E N TS U R G E R Y. N E T • 6 3

Articles in this issue

Archives of this issue

view archives of Outpatient Surgery Magazine - The Power to Prevent SSIs - June 2017 - Subscribe to Outpatient Surgery Magazine