New Recommendations for Prevention of Surgical Fires

Watson, Donna S.

doi:10.1016/j.aorn.2009.12.023

Cited by 22 publications

(23 citation statements)

References 1 publication

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“…Airway fires were also an infrequent complication (2.8%). This is due most likely to the recent increased vigilance of anesthesia, surgeon, and operating room staff in preventing surgical fires over the last several years 21–23…”

Section: Discussionmentioning

confidence: 99%

Complications and legal outcomes of tonsillectomy malpractice claims

Stevenson

Myer

Shuler³

et al. 2011

The Laryngoscope

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Tonsillectomy carries a large amount of risk from a malpractice standpoint. Postoperative bleeding is the complication most commonly associated with malpractice claims, but may not carry the greatest overall risk from a patient care or monetary standpoint. Hypoxic and anoxic events, although less common, appear to carry more morbidity for the patient and are associated with greater settlements and judgments in malpractice claims. Tonsillectomy continues to carry a significant mortality risk, albeit infrequent, and a high level of vigilance should be employed to help reduce these risks.

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Section: Discussionmentioning

confidence: 99%

Complications and legal outcomes of tonsillectomy malpractice claims

Stevenson

Myer

Shuler³

et al. 2011

The Laryngoscope

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“…8 In many cases, injuries from the fire cause the patient not only physical but also psychological damage. 9 In our ORs, as an added safety measure, we perform a fire assessment after we complete the time out. 8 Three elements are needed for a fire to occur in the OR setting: an oxidizer, an ignition source, and a source of fuel (ie, the fire triangle).…”

Section: Simulated Surgical Firesmentioning

confidence: 99%

“…All members of the perioperative team should understand that separating these three elements will decrease the risk of fire. 9 In our ORs, as an added safety measure, we perform a fire assessment after we complete the time out. We grade the risk for fire on a scale of 1 to 3, with 3 representing the highest risk for fire and requiring the most caution on the part of the surgical team.…”

Section: Simulated Surgical Firesmentioning

confidence: 99%

Using Simulation Training to Improve Perioperative Patient Safety

Mullen¹,

Byrd²

2013

AORN Journal

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Simulation learning provides medical and nursing personnel with the opportunity to develop and refine their skills without putting patients at risk. Faced with ensuring the competence of a large number of new staff members, the management team at one facility implemented a simulation training program. Surgical team members are able to participate in an ongoing program of simulated scenarios involving surgical drape fires and airway fires, cardiac arrest of patients in the supine position and prone position, respiratory depression in the postanesthesia care unit, and malignant hyperthermia. The simulations help OR staff members identify problems that can happen during real emergencies and help them work as a team to prepare for events that may represent life-threatening situations for patients.

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“…These are known as the fire triangle. The potential for a surgical fire increases when all three elements are present 2 . The ESU handpiece is one element of the fire triangle (ie, the ignition source), the surgical drapes provide the second element (ie, the fuel source), and oxygen present in room air contributes the third element (ie, the oxidizer) 3…”

Section: Electrosurgery and Fire Preventionmentioning

confidence: 99%

Clinical Issues—April 2012

Ogg

2012

AORN Journal

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This Month Patient monitoring during moderate sedation administration Key words: moderate sedation, capnography, exhaled carbon dioxide, end‐tidal carbon dioxide, pulse oximetry. Maintenance requirements for eyewash stations Key words: eyewash stations, hazardous chemicals. Electrosurgery and fire prevention Key words: fire prevention, electrosurgery handpiece, laparoscopic electrosurgery. Preventing alternate site burns from hair accessories during electrosurgery Key words: electrosurgery, hair weaves, bobby pins, metal, alternate site burn.

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New Recommendations for Prevention of Surgical Fires

Cited by 22 publications

References 1 publication

Complications and legal outcomes of tonsillectomy malpractice claims

Complications and legal outcomes of tonsillectomy malpractice claims

Using Simulation Training to Improve Perioperative Patient Safety

Clinical Issues—April 2012

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