Outpatient Surgery Magazine - Subscribers

What's the Harm? - December 2015 - 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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4 0 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 | D E C E M B E R 2 0 1 5 Before and after surgery Our first real, legitimate pause actually comes one week before the surgery, not on the day of surgery. We meet as a team to discuss the patients scheduled for the following week, review the checklist, and look for any highlighted items we need to remember or address. S A F E T Y IT'S ALIVE Tailor the Checklist to Reflect Your Specialty Maybe the best part about our comprehensive Operating Room Checklist is that it's designed to be a living, breathing docu- ment. Nothing is written in stone. My guess is that probably about 90% of it would apply to any sur- geon and any surgery, but the other 10% can easily be customized and applied to any specialty. And it can be continually updated. Several years ago, one of my patients had a MRSA infection during a facelift. I never want to see one of those again, so I talked to a friend who specializes in infectious diseases and we came up with a protocol to add to the checklist. A thousand cases later, we haven't had another. Preventable complications are practically nonexistent in my practice, and that's because if we ever have a technical or procedural problem in the OR, we immediate- ly update the protocol so it won't happen again. — Lorne King Rosenfield, MD Download Dr. Rosenfield's Operating Room Checklist at outpatientsurgery.net/forms. z BARE-BONES? The World Health Organization sur- gical checklist has its limitations, says Dr. Rosenfield.

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