come, if we're being honest, not everyone in the room is paying atten-
tion, and not everyone gets a chance to say they're ready for the case
to begin," says Dr. Berry. "Addressing that aspect of care would
improve the safety performance of many, many facilities."
Additionally, create an internal system to fix problems that are iden-
tified during the course of a workday. "I'm a big fan of short debriefs
at the end of procedures to make sure oversights are addressed and
solved," says Dr. Berry.
Errors will continue to occur, because we're only human is not
the mindset surgical leaders should have, says Ms. Gibbons. "Zero
patient harm is obtainable," she adds. "We're a special group of pro-
fessionals working in a high-impact system. There needs to be more
scrutiny on the processes of care, so we can mitigate anything that's
a potential risk."
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