Wrong-site regional anesthesia

Barrington, Michael J.; Uda, Yoshiaki; Pattullo, S; Sites, Brian D.

doi:10.1097/aco.0000000000000258

Cited by 22 publications

(28 citation statements)

References 21 publications

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“…Fatigue : In some studies, fatigue has been identified as the most important cause of error and its recurrence ( 19 , 23 , 31 ). In one study, fatigue was reported as a contributing factor to anesthesia errors ( 28 ).…”

Section: Resultsmentioning

confidence: 99%

“…Various distractions: According to the studies, distraction of the medical staff caused by unnecessary visits to hospital wards, unnecessary telephone calls, staff irregularities, and irregular placement of equipment and medications, leads to surgical, anesthesia and medication errors ( 18 , 23 , 31 ).…”

Section: Resultsmentioning

confidence: 99%

“…Poor teamwork: Poor team communication is one of the most important factors in error recurrence and may cause harm to patients ( 25 , 31 , 43 ). Such weak connections are usually due to poor teamwork between physicians and nurses, which endangers patient safety ( 25 , 43 ).…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Factors affecting the recurrence of medical errors in hospitals and the preventive strategies: a scoping review

Aghighi¹,

Aryankhesal²,

Raeissi³

2022

jmehm

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Due to the high value of human life, the occurrence of even one error that leads to death or complications is of great consequence and requires serious attention. Although significant efforts have been made to ensure patient safety, serious medical errors continue to exist. This study aimed to identify the factors associated with the recurrence of medical errors and strategies to prevent them through a scoping review. Data were gathered through a scoping review of PubMed, Embase, Scopus, and Cochrane Library databases during August 2020. Articles related to factors influencing the recurrence of errors despite the available information, as well as articles related to measures taken worldwide to prevent them, were included in study. Overall, 32 articles were selected out of the 3422 primary papers. Two main categories of factors were identified as influential in error recurrence: human factors (fatigue, stress, inadequate knowledge) and environmental and organizational factors (ineffective management, distractions, poor teamwork). The six effective strategies for preventing error recurrence included the use of electronic systems, attention to human behaviors, proper workplace management, workplace culture, training, and teamwork.It was concluded that using a combination of methods related to health management, psychology, behavioral sciences and electronic systems can be effective in preventing the recurrence of errors.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Factors affecting the recurrence of medical errors in hospitals and the preventive strategies: a scoping review

Aghighi¹,

Aryankhesal²,

Raeissi³

2022

jmehm

View full text Add to dashboard Cite

show abstract

“…En el peor de los casos este error puede llevar al equipo a continuar con la cirugía en el sitio equivocado (38) . Por la magnitud y el potencial de daño, la NHS incluyó en el 2015 a los bloqueos periféricos de sitio incorrecto como un "Never Events", es decir, incidentes que no deben ocurrir jamás dentro de la práctica asistencial (39) .…”

Section: Anestesia Regional En Entornos No Segurosunclassified

Bloqueos de nervio periférico. ¿Cuándo no?

2020

Curso De Anestesia Regional Para Cirugía Ambulatoria

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“…poor timing, missing or inaccurate content, ineffective communication resulting in failure to resolve the issue) [6]. In order to address these failures processes were developed including timeouts, debriefings and checklists (WHO checklist being a prominent example and which incorporates the former two processes) [13,14].…”

Section: Introductionmentioning

confidence: 99%

Novel accessory safety footswitch permitting dual control of surgical electrical diathermy: an asset in risk management in surgical training?

Eisawi

Canelo

2020

BMJ Innov

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IntroductionHuman error contributes to the majority of adverse events in the operating theatre environment. Many processes exist to limit the incidence of such adverse events. However, the role of technology and device advancement has been limited in this respect.MethodsA dual-controlled accessory electrical diathermy footswitch (abortive diathermy footswitch device or ADF) concept was developed in an attempt to improve patient safety in theatre. The activation of the ADF allows a senior surgeon to control the activation of diathermy devices by a junior surgeon by deactivating diathermy devices when the ADF footswitch is operated.ResultsThe ADF device was constructed as a final working and tested prototype in association with the local medical engineering department at the Cumberland Infirmary in Carlisle. The device was clinically tested during two separate theatre sessions involving five elective laparoscopic cholecystectomies.ConclusionsWe demonstrated the feasibility and functionality of the ADF device and propose a role in surgical training through potentially limiting surgical errors associated with the use of electrical diathermy during training and expanding accessible surgical experience.

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Wrong-site regional anesthesia

Cited by 22 publications

References 21 publications

Factors affecting the recurrence of medical errors in hospitals and the preventive strategies: a scoping review

Factors affecting the recurrence of medical errors in hospitals and the preventive strategies: a scoping review

Bloqueos de nervio periférico. ¿Cuándo no?

Novel accessory safety footswitch permitting dual control of surgical electrical diathermy: an asset in risk management in surgical training?

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