Outpatient Surgery Magazine

Work-Life Balance - January 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/771120

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• There's a safety issue — stop! When nurses tell me they're concerned during a case, I immediately stop to acknowledge those concerns. But that's not all. As you can see in the sidebar to the right, your OR team should conduct safety sessions before and after surgery as well. OSM Dr. Burney (dwightburney119@gmail.com) is an orthopedic surgeon in Albuquerque, N.M., and active in the American Association of Orthopaedic Surgeons' patient safety efforts. J A N U A R Y 2 0 1 7 • O U T PA T I E N TS U R G E R Y. N E T • 1 5 3 went right and what could have gone better. Before you touch on what could have gone better, start by discussing what went well to get everyone comfortable with sharing their opinions. It's diffi- cult for members of the team to criticize themselves, so the sur- geon needs to step into a leadership role by showing some vul- nerability with comments like, I should have told you about the possibility of needing that equipment. Finally, discuss what the team can do better during future cases and touch on specific issues or concerns that you need to resolve before the next case, such as replacing broken instruments. Debriefings lose their effectiveness without a system in place that will address and cor- rect issues that surgeons and staff identify. Who's accountable for making that happen? Who will report back to the surgical team when the problem is resolved? Those elements have to be in place to ensure debriefings don't become pointless, time- wasting exercises. — Dwight Burney, MD

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