Perioperative Safety Culture, An Issue of Anesthesiology Clinics

1st Edition, Volume 41-4 - October 17, 2023
Editors: Matthew D. Mcevoy, James (Jake) Abernathy
Language: English
Hardback ISBN:
9 7 8 - 0 - 4 4 3 - 1 8 3 4 0 - 9
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 1 8 3 4 1 - 6

In this issue of Anesthesiology Clinics, guest editors Drs. Matthew M. McEvoy and James Abernathy III bring their considerable expertise to the topic of Perioperative Safety… Read more

Perioperative Safety Culture, An Issue of Anesthesiology Clinics

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In this issue of Anesthesiology Clinics, guest editors Drs. Matthew M. McEvoy and James Abernathy III bring their considerable expertise to the topic of Perioperative Safety Culture. Safety culture is the product of individual and group values, attitudes, perceptions, competencies, and patterns of behavior that determine an organization’s health and safety management. In this issue, top experts discuss topics such as patient safety and clinician wellness; handoffs and In-hospital care transitions; team dynamics in the operating room: how is team performance optimized?; anesthesiology operating room medication delivery; OR design: state-of-the-art design concepts to help mitigate errors and improve safety; and more.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
Change Management and Health Care Culture
Key points
A Brief History of Change Management
The Significance of Change Management on Health Care Culture
Core Principles of Change Management
Change Management Models in Health Care
Change Management Programs Used Outside the United States
Research in the Field of Change Management in Health Care
The Future of Change Management
Summary
Clinics care points
Disclosure
Building Cultures of High Reliability: Lessons from the High Reliability Organization Paradigm
Key points
Introduction
A brief history of the high reliability organization paradigm
High reliability organizing and health care: what is known?
Summary
Clinics care points
Disclosure
The Cognitive Basis for Human Error and the Best Practices to Reduce Error
Key points
Introduction
Why errors occur
Best practices to prevent errors
Barriers to implementing best practices
Disclosures
Just Culture: How Do We Address Risky and Unprofessional Behaviors that Lead to Errors?
Key points
Introduction
Addressing behaviors and risk within a just culture
Application/implementation
Outcomes
Education and training
Controversies
Discussion
Summary
Clinics care points
Disclosure
Patient Safety and Clinician Well-Being
Key points
Introduction
The relationship between clinician well-being and patient safety
Threats to Clinician Well-being and Patient Safety
Opportunities to Enhance Clinician well-being and Patient Safety
Summary
Clinics care points
Disclosure
Perioperative Environment Safety Culture: A Scoping Review Addressing Safety Culture, Climate, Enacting Behaviors, and Enabling Factors
Key points
Introduction
Methods
Results
Discussion
Summary
Clinics care points
Disclosure
Team Dynamics in the Operating Room: How Is Team Performance Optimized?
Key points
Introduction
Characterization of the ideal team
Importance of team dynamics in the operating room
Assessing team performance in the operating room
Self-assessment versus objective assessment
Tools
Attitudes
Methods to improve team performance
Training
Simulation-based training
Principle-based training
Tools to improve team performance
Organizational design to improve team performance
Other methods to improve team performance
Medical device recorders
Summary
Clinics care points
disclosure
Safety in Health Care: The Impact of Operating Room Design
Key points
Introduction
Operating room configuration
Equipment positioning and delineation of zones
Operating room size
Workspace design and ergonomics
Operating room door design
Sightlines and visibility in the operating room
Ventilation and air quality
Temperature and humidity
Noise
Lighting
Discussion
Clinics care points
Disclosure
Nontechnical Skills for Intraoperative Team Members
Key points
Introduction
Human performance and outcomes: current evidence
Taxonomies for nontechnical skills among intraoperative clinical specialties
Nontechnical skills and human factors science
Nontechnical skills education, research, and quality improvement
Summary
Clinics care points
Disclosure
Funding statement
Author contributions
Coaching to Improve Individual and Team Performance in Anesthesiology
Key points
Introduction
History of professional/personal coaching
How is coaching different from mentoring?
Evidence for coaching effectiveness
Coaching principles: “the coach approach”
Coaching applications for the anesthesiologist
Can Coaching Make Patient Care Safer and Better?
Summary
Clinics care points
Disclosure
Systems of Care Delivery and Optimization in the Preoperative Arena
Key points
History and background
Discussion
Preoperative Processes in Different Systems of Care Delivery
Summary
Clinics care points
Funding
Disclosure
Systems Anesthesiology: Systems of Care Delivery and Optimization in the Operating Room
Key points
Introduction
Definition of systems anesthesiology
Perioperative patient care
Summary
Clinics care points
Presentation
Disclosure
Systems of Care Delivery and Optimization in the Intensive Care Unit
Key points
Introduction
Understanding the ICU environment
Systems of care delivery in the ICU
Optimization of care processes in the ICU
Challenges and barriers to optimal care delivery in the ICU
ICU success
Future directions and innovations
Summary
Clinics care points
Disclosures
Systems of Care Delivery and Optimization in the Postoperative Care Wards
Key points
Postoperative care standardization
Enhanced recovery and perioperative medicine
Wearables
Role of rapid response systems in postoperative patient safety
Optimizing rapid response team outcomes
Risk stratification and early warning scores
Summary
Clinics care points
Disclosure

Life sciences

Physical sciences & Engineering

Social sciences & Humanities

Health

Perioperative Safety Culture, An Issue of Anesthesiology Clinics

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Matthew D. Mcevoy

James (Jake) Abernathy