Vol 4 Issue 3 May 2017-June 2017
Abstract: In the modern medicine, there are plenty of evidences to show, those patients who undergo a surgical or invasive procedure are at increased risk of suffering an adverse event. This is not because the surgeons and proceduralists are careless or incompetent; rather it is an issue, because there are many opportunities for things to go wrong because of the many steps involved in surgical procedures with all the perioperative issues.
Why patient’s safety is relevant to surgery and invasive procedures, is a topic which is discussed frequently. In addition, there are the problems caused by surgical site infections, miscommunication and mismanagement, that account for a significant proportion of all health care-associated mistakes, failures and infections as well.
This topic in this evaluation will discuss and review the literature in order to understand how patient safety principles can contribute in optimizing patient care, minimizing medical errors and adverse events associated with invasive procedures. There are many validated guidelines now available to assist the health-care team deliver safe surgical care, minimize the mistakes and to continue the care of the patient after discharge from the hospital.
There may not be many opportunities for all professionals in health care to implement many of these steps to improve surgical outcomes. Nonetheless it can be easily learned and realized, how the health professionals communicate with one another and what techniques are used to make sure that they are operating on the correct person or doing the procedure on the correct body part / site / side with all relevant precautions and devices. The health care providers can also optimize their knowledge and recognize, what can happen when healthcare professionals appear not to follow well-defined protocols and steps, in order to avoid many dangerous mistakes in the health care sectors.
Therefore, surgical safety checklists were initiated and developed to reach the optimal and best implementation and optimization of patient care in all stages of the treatment of the patient in surgical procedures; during hospitalization and after discharge.
Keywords: Patient safety is paramount, To Err Is Human, primum non nocere “first do no harm”, surgical and procedural site infections / errors, adverse events, operation room (OR), communication / miscommunication / coordination / failures, surgical mortality / morbidity meetings, quality assurance, teamwork, surgery checklist, time-in, time-out, briefing, debriefing, hand-offs of patients results, antibiotic prophylaxis (ABP), Electronic medical record (EMR), American Society of Anesthesiologists (ASA), ASA-score, leadership in the OR, World Health Organization (WHO), Electronic Health Record (EHR), Anesthesia Patient Safety Foundation (APSF), Hospital Patient Safety Indicators (PSI). Institute of medicine (IOM), National Health Services (NHS).
Title: Patient Safety from Surgical Perspective: Evaluation and Review of the Literature
Author: Munthir Al-Zabin MD, PhD
International Journal of Novel Research in Life Sciences