single of the main goals of the Mul...

single of the main goals of the Multispecialty conversation Sept 25 to 28, 2003 in Denver was to increase understanding of perioperative patient safety issues. Many of the sessions were directly or indirectly related to patient safety topics. The following sessions are just a not many that directly addressed safety issues. Unfortunately, we do not have expanse to include all information from all of the sessions.

Defining a agriculture of safety

Karlene Kerfoot RN PhD CNAA, FAAN, Clarian Health, Indianapolis

guide Points:

* Adopt a high-reliability organization mindset and abandon a mindset that says policies and measures can solve problems in the health care setting.

* Facilities have to take a proactive approach that stopples up the holes in the regularity but they first have to know about the holes

* Managers and leaders should "stalk" the point to be solved [i]or[/i] settleds and the near misses, for a like reason they can "vaccinate the hypothesis against the big problems."

* Aggressively give chase to even the most minor problems

* Intensively train during routine operations, drills, and simulations to be prepared.

* Examine safety and reliability for all the organization's activities.

* In the OR, the unexpect happens each day. Actively plan for the unexpected

Surgical site infections (SSIs)

Carolyn L Twomey RN BSN Richmond, Va

tonic Points:

* Worldwide, 22 million folks died from infections this year alone.

* To decrease the risk of SSIs:

* use supplemental oxygen intraoperatively and postoperatively,

* intercept hypothermia intraoperatively,

* use antibiotic irrigation,

* provide nutritional support preoperatively and postoperatively, and

* save tissue with gentle manipulation during surgery

* Double gloving is a priority--single glove have more than twice the small hole rate of double gloves.

Teamwork, collaboration in the OR

Michael Leonard, MD Colorado Permanente Medical assemblage Evergreen, Colo

tonic Points:

* Communication and teamwork are explanation to patient safety.

* The health care civilization today rewards perfection and scowls on error.

* Administrators believe fixing the body rather than the underlying cause will make the question at issue go away.

* Error is inevitable because of human limitations.

* The majority of question s in the OR are related to communication failure.

* Start surgical transactions with briefings, where everyone's contribution and design is recognized.

* Acknowledge team members through name.

* Be assertive in pointing abroad errors or practices that can lead to errors.

Error potential--Error prevention

Jeannie Botsford, RN M CNOR, surgical consulting specialist, Costa Mesa, Calif.

[i]clavis[/i] Points:

* Failure way effects analysis should be applied to the health care environment to improve safety.

* AORN's Patient Safety First voluntary reporting site allows supply with nourishments to report near misses, which helps all foments learn from one another.

* Policies must define clear, accurate, ended and legible order to make sure safe medication management.

* Universal protocols must be established within and between facilities in a community to make secure correct site surgery that clearly establish guidelines for right/left distinction, multiple piles and multiple levels.

COPYRIGHT 2003 Association of Operating compass Nurses, Inc.

COPYRIGHT 2003 Gale Group