Peer Review To Prevent, Manage And Learn From Catastrophic Complications In Perioperative Medicine

Peer Review To Prevent, Manage And Learn From Catastrophic Complications In Perioperative Medicine PDF Author:
Publisher:
ISBN:
Category :
Languages : en
Pages :

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Book Description
Background and Goal of Study: Audits, checklists, guidelines, and practice advisories considerably improved safety in the perioperative setting. Yet, given the reality of multi-generational and multi-cultural workforces and discoveries in management sciences, the community is only just about to recognise the importance of peer review in perioperative medicine. While the concept of feedback has been institutionalized across various settings over the past decades, peer reviews take place on a different level in organizational hierarchy and depends heavily on individual and departmental culture. We aimed to shed light on this crucial activity to prevent, manage, and learn from catastrophic complications.Materials and Methods: We searched PubMed, Embase and EBSCO, Web of Science, JSTOR and WISO and reviewed current evidence considering peer review, i.e. the performance assessment by someone of the same status and ability, from both management science and medicine to define, build, and adjust a departmentu2019s mission, vision, and culture.Results and Discussion: While respective evidence is sparse in medicine, such deriving from management sciences is overwhelming. The latter suggests peer review being integrated in every departmentu2019s mission and vision to evolve from a peer review-adverse culture towards an open and supportive peer review environment since not only the fear of performance review, but also the lack of it generate dysfunctionalwork environments. Further, professional performance, compliance with epartmental strategy, and personality traits can be addressed preventively, retrospectively, and acutely, and can be benchmarked with the departmental mission, vision, and values, defined in the strategy.Conclusions: Aiming at reducing perioperative morbidity and mortality, peer review provides a valuable leadership tool to improve in the face of ever increasing complex workplace settings and a key element towards preventing, managing, and learning from catastrophic perioperative complications. Both leadership and peers in perioperative medicine have to be aware that change is not an event but rather a process that requires time, has to follow specific steps, and has to be planned strategically.

Peer Review To Prevent, Manage And Learn From Catastrophic Complications In Perioperative Medicine

Peer Review To Prevent, Manage And Learn From Catastrophic Complications In Perioperative Medicine PDF Author:
Publisher:
ISBN:
Category :
Languages : en
Pages :

Get Book Here

Book Description
Background and Goal of Study: Audits, checklists, guidelines, and practice advisories considerably improved safety in the perioperative setting. Yet, given the reality of multi-generational and multi-cultural workforces and discoveries in management sciences, the community is only just about to recognise the importance of peer review in perioperative medicine. While the concept of feedback has been institutionalized across various settings over the past decades, peer reviews take place on a different level in organizational hierarchy and depends heavily on individual and departmental culture. We aimed to shed light on this crucial activity to prevent, manage, and learn from catastrophic complications.Materials and Methods: We searched PubMed, Embase and EBSCO, Web of Science, JSTOR and WISO and reviewed current evidence considering peer review, i.e. the performance assessment by someone of the same status and ability, from both management science and medicine to define, build, and adjust a departmentu2019s mission, vision, and culture.Results and Discussion: While respective evidence is sparse in medicine, such deriving from management sciences is overwhelming. The latter suggests peer review being integrated in every departmentu2019s mission and vision to evolve from a peer review-adverse culture towards an open and supportive peer review environment since not only the fear of performance review, but also the lack of it generate dysfunctionalwork environments. Further, professional performance, compliance with epartmental strategy, and personality traits can be addressed preventively, retrospectively, and acutely, and can be benchmarked with the departmental mission, vision, and values, defined in the strategy.Conclusions: Aiming at reducing perioperative morbidity and mortality, peer review provides a valuable leadership tool to improve in the face of ever increasing complex workplace settings and a key element towards preventing, managing, and learning from catastrophic perioperative complications. Both leadership and peers in perioperative medicine have to be aware that change is not an event but rather a process that requires time, has to follow specific steps, and has to be planned strategically.

Catastrophic Perioperative Complications and Management

Catastrophic Perioperative Complications and Management PDF Author: Charles J. Fox
Publisher:
ISBN: 9783319961262
Category : Surgery
Languages : en
Pages : 418

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Book Description
This textbook provides educational material for the many students, as well as nurses, residents or attending physicians who participate in perioperative medicine. It focuses on the most serious perioperative complications and includes a discussion of the pathophysiologic and pharmacologic implications unique to each. Additionally, the textbook provides medicolegal information pertinent to those providing care to these patients. All chapters are written with the most current and relevant information by leading experts in each field.The layout and format is designed to be purposeful, logical and visually effective. Other features include review questions and answers, chapter summaries and shaded call-out boxes to facilitate learning.

Catastrophic Perioperative Complications and Management

Catastrophic Perioperative Complications and Management PDF Author: Charles J. Fox, III
Publisher: Springer
ISBN: 331996125X
Category : Medical
Languages : en
Pages : 418

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Book Description
For years the administrative of anesthesia was extremely dangerous and risky. Because of this the surgeon and anesthesiologist had to balance the risks and benefits for each patient before proceeding with surgery. In the last two decades the care of the surgical patient has changed dramatically. New equipment, monitors and pharmacologic agents have transformed surgical technique and improved outcomes. Patients once deemed “too sick” for the operating room are found frequently on operating room schedules nationwide. Today, anesthesiology for the healthy patient in most developed countries is extremely safe. However, perioperative complications still occur. These events can be catastrophic for patients and may have serious implications for residents, surgical and anesthesiology staff and nurses. Prompt recognition and management of these incidents may reduce or negate complications. This is based on a fundamental base of knowledge acquired through several avenues and practiced with other team members to maximize outcomes. Engagement of all caregivers impacts outcomes. Many organizations do not have the structural components or education to recognize or manage these catastrophic events. This textbook will provide educational material for the many students, as well as nurses, residents or attending physicians who participate in perioperative medicine. It will focus on the most serious perioperative complications and include a discussion of the pathophysiologic and pharmacologic implications unique to each. Additionally, it will provide medicolegal information pertinent to those providing care to these patients. All chapters will be written with the most current and relevant information by leading experts in each field.The layout and format is designed to be purposeful, logical and visually effective. Other features include review questions and answers, chapter summaries and shaded call-out boxes to facilitate learning. Catastrophic Perioperative Complications and Management will be of great utility for medical and nursing students, anesthesiology residents, student nurse anesthestists, surgical residents, nurses involved in perioperative medicine as well as surgical and anesthesiology attending physicians.

Complications in Anesthesia E-Book

Complications in Anesthesia E-Book PDF Author: Lee A Fleisher
Publisher: Elsevier Health Sciences
ISBN: 0323482112
Category : Medical
Languages : en
Pages : 1088

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Book Description
Using a unique, problem-solving approach, Complications in Anesthesia, 3rd Edition, walks you through effective solutions to common complications in anesthesia and critical care. This practical reference uses a highly structured, clearly illustrated format to bring you up to date with what’s new in the field, help you anticipate potential challenges, and guide you through life-saving solutions. Presents content in an updated, logical organization covering various types of complications (drugs, testing, intubation, line insertion, surgical procedures, etc.) followed by differential diagnosis and treatment of signs of complications (intraoperative, such as hypoxia or hypotension; and postoperative, such as MI). Follows a problem-based, practice-oriented approach throughout; case synopses are followed by concise coverage of recognition, risk assessment, implications, management, and prevention. Allows you to review the case reports, contemplate the implications, then check your response against what the experts have to say. Includes numerous photographs, diagrams, flow charts, and tables that illustrate key concepts. Ideal as a clinical reference and as a study tool when preparing for oral boards. Brings you up to date with new safety standards and the latest ASA guidelines.

Patient Safety and Quality

Patient Safety and Quality PDF Author: Ronda Hughes
Publisher: Department of Health and Human Services
ISBN:
Category : Medical
Languages : en
Pages : 592

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Book Description
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Primary Knee Arthroplasty

Primary Knee Arthroplasty PDF Author: Urs Munzinger
Publisher: Springer
ISBN: 3642188168
Category : Medical
Languages : en
Pages : 312

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Book Description
Primary knee arthroplasty (PKA) has a long history and modern mobile bearing knee implants are successfully implanted worldwide since 1977. Primary Knee Arthroplasty focuses on basic science, personal surgical experiences, clinical, functional and radiographic outcomes of PKA, with special focus on challenging knees such as severe varus and valgus deformities with associated bone defects, fixed flexion deformities, soft tissue contractures, and arthrodesed knees. Patella treatment with or without resurfacing is addressed in great detail. Early criterion-based rehabilitation and the patient’s return to participating in sports are discussed as is the management of prosthetic or surgery related complications. Lavishly illustrated to complement the text, Primary Knee Arthroplasty is a ‘must-have’ for all practicing knee replacement surgeons, orthopedic surgeons in training, orthopedic nurses, and physiotherapists with a special interest in knee arthroplasty. Tips and tricks provided by experienced knee surgeons are indispensable for daily clinical practice.

Clinical Anesthesiology

Clinical Anesthesiology PDF Author: G. Edward Morgan
Publisher: McGraw Hill Professional
ISBN: 0071781307
Category : Medical
Languages : en
Pages : 1121

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Book Description
Clinical Anesthesiology integrates succinct coverage of basic principles and clinical considerations in the anesthetic management of patients. It features up-to-date discussion of all relevant areas within anesthesiology, including equipment, pharmacology, regional anesthesia, pathophysiology, pain management, anesthetic management, and critical care. Extensive use of case discussions, figures, and tables in each chapter promotes application of the concepts to practice.

Pain Management and the Opioid Epidemic

Pain Management and the Opioid Epidemic PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309459575
Category : Medical
Languages : en
Pages : 483

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Book Description
Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.

Registries for Evaluating Patient Outcomes

Registries for Evaluating Patient Outcomes PDF Author: Agency for Healthcare Research and Quality/AHRQ
Publisher: Government Printing Office
ISBN: 1587634333
Category : Medical
Languages : en
Pages : 385

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Book Description
This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.

Neurologic Outcomes of Surgery and Anesthesia

Neurologic Outcomes of Surgery and Anesthesia PDF Author: George A. Mashour
Publisher: Oxford University Press
ISBN: 0199895724
Category : Medical
Languages : en
Pages : 152

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Book Description
Neurologic Outcomes of Surgery and Anesthesia reviews adverse perioperative outcomes involving the brain, spine, and peripheral nerves.