Patient safety for the surgical trainee
This article highlights some key principles in patient safety for the surgical trainee. The incidence of harm in healthcare and surgical practice in particular are outlined. The importance of clinical human factors is highlighted along with how this discipline has helped healthcare workers improve t...
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Published in | Surgery (Oxford) Vol. 39; no. 12; pp. 816 - 828 |
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Main Author | |
Format | Journal Article |
Language | English |
Published |
Elsevier Ltd
01.12.2021
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Abstract | This article highlights some key principles in patient safety for the surgical trainee. The incidence of harm in healthcare and surgical practice in particular are outlined. The importance of clinical human factors is highlighted along with how this discipline has helped healthcare workers improve the care they provide to patients. Concepts of systems thinking are introduced; patient harm rarely comes from the isolated action of an individual but from deficiencies in the systems of which they are a part and with which they interact. The shifting paradigm of patient safety thinking is highlighted’ with an increasing focus on reducing risk (safety II) rather than eliminating harm (safety I). Strategies for recording, analysing and learning from patient harms are discussed. Examples are provided of commonly used systems models to help clinicians in this area. A number of strategies that have been developed to enhance safety, trap errors and mitigate potential harm to surgical patients are discussed. Information is provided on several key national and international patient safety initiatives that have been instrumental in enhancing patient care by disseminating learning and collaboration between individual units, hospitals and health services. |
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AbstractList | This article highlights some key principles in patient safety for the surgical trainee. The incidence of harm in healthcare and surgical practice in particular are outlined. The importance of clinical human factors is highlighted along with how this discipline has helped healthcare workers improve the care they provide to patients. Concepts of systems thinking are introduced; patient harm rarely comes from the isolated action of an individual but from deficiencies in the systems of which they are a part and with which they interact. The shifting paradigm of patient safety thinking is highlighted’ with an increasing focus on reducing risk (safety II) rather than eliminating harm (safety I). Strategies for recording, analysing and learning from patient harms are discussed. Examples are provided of commonly used systems models to help clinicians in this area. A number of strategies that have been developed to enhance safety, trap errors and mitigate potential harm to surgical patients are discussed. Information is provided on several key national and international patient safety initiatives that have been instrumental in enhancing patient care by disseminating learning and collaboration between individual units, hospitals and health services. |
Author | Paisley, Anna M |
Author_xml | – sequence: 1 givenname: Anna M surname: Paisley fullname: Paisley, Anna M organization: Anna M Paisley BM BCh MA DM FRCSEd (Gen.Surg) FFSTEd is Chair, Patient Safety Group, Royal College of Surgeons, Edinburgh; and a Consultant General and Oesophagogastric Surgeon at the Royal Infirmary, Edinburgh, UK. Conflict of Interests: none declared |
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Cites_doi | 10.1136/bmjqs-2013-002757 10.1056/NEJMsa0810119 10.1136/bmj.320.7237.768 10.1002/bjs.10779 10.1016/j.surg.2005.06.017 10.1136/qshc.2005.015842 10.1056/NEJM199102073240604 10.1136/bmjqs-2013-001812 |
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Keywords | brief systems thinking patient safety Adverse events clinical human factors high-risk organizations safety culture debrief non-technical skills surgical safety checklist surgery |
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References_xml | – year: 2008 ident: bib15 article-title: Guidelines for safe surgery: safe surgery saves lives – volume: 23 start-page: 670 year: 2014 end-page: 677 ident: bib8 article-title: Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety publication-title: BMJ Qual Saf contributor: fullname: Carthey – year: 2000 ident: bib2 publication-title: To err is human: building a safer health system – year: 2019 ident: bib14 article-title: Fifth patient report of the National Emergency Laparotomy Audit RCoA London – volume: 105 start-page: 719 year: 2018 end-page: 727 ident: bib6 article-title: Construct and criterion validity testing of the Non-Technical Skills for Surgeons (NOTSS) behaviour assessment tool using videos of simulated operations publication-title: BJS contributor: fullname: Gazarian – volume: 15 start-page: i50 year: 2006 end-page: i58 ident: bib10 article-title: Work system design for patient safety: the SEIPS model publication-title: Qual Saf Health Care contributor: fullname: Karsh – volume: 320 start-page: 768 year: 2000 end-page: 770 ident: bib9 article-title: Human error: models and management publication-title: BMJ contributor: fullname: Reason – year: 2014 ident: bib7 article-title: Safety-I and Safety-II; the past and future of safety management contributor: fullname: Hollnagel – volume: 139 start-page: 140 year: 2006 end-page: 149 ident: bib5 article-title: Non-technical skills for surgeons: a review of the literature publication-title: Surgery contributor: fullname: Maran – volume: 324 start-page: 370 year: 1991 end-page: 376 ident: bib1 article-title: Incidence of adverse events and negligence in hospitalized patients. 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Results of the Harvard Medical Practice Study I publication-title: N Engl J Med doi: 10.1056/NEJM199102073240604 contributor: fullname: Brennan – year: 2000 ident: 10.1016/j.mpsur.2021.09.005_bib2 – volume: 23 start-page: 196 year: 2014 ident: 10.1016/j.mpsur.2021.09.005_bib4 article-title: Human Factors and ergonomics as a patient safety practice publication-title: BMJ Qual Saf doi: 10.1136/bmjqs-2013-001812 contributor: fullname: Carayon |
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