Current therapy in colon and rectal surgery by Victor W Fazio; James M Church; C P Delaney PDF

By Victor W Fazio; James M Church; C P Delaney

ISBN-10: 1437711324

ISBN-13: 9781437711325

Broadly revised, this second version focuses completely on functional scientific technology and advances in colon and rectal surgical procedure. It keeps to supply ''expert'' views and crucial info on present therapies--ranging from new diagnostic modalities and scientific therapeutics to surgical operation ideas, together with minimum entry surgical procedure. offers a ''quick session with experts'' on contemporary Read more...

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24. Silber JH, Williams SV, Krakauer H, Schwartz JS. Hospital and patient characteristics associated with death after surgery. A study of adverse occurrence and failure to rescue. Med Care 1992;310:615–629. Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat AH, Dellinger EP et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med 2009;360:491–499. McCafferty MH, Polk HC, Jr. Patient safety and quality in surgery. Surg Clin North Am 2007;87(4):867–881, vii.

The most common error types (node 2) and domain (node 3) contributing to avoidable deaths in surgery fall into three major categories: (1) diagnosis, (2) treatment, and (3) prevention. 11 Failures in airway management, missed injuries, and inadequate recognition or control of hemorrhage account for the majority of errors in the treatment node. These authors identified 16% of preventable deaths were due to failure of airway management and 28% due to failure to identify or control hemorrhage. 7 Preventing and Mitigating Errors There are proven safety models that can be adapted to patient safety that have been thoroughly researched and utilized by “High Reliability Organizations” (HROs).

67 Building SA requires developing and maintaining an overall dynamic and temporal awareness of the clinical entirety based on perceiving all elements in the environment, understanding their interrelationship and implications of each, and using this understanding to think ahead, to predict, and anticipate the most likely eventualities. Prioritizing information and actions are important aspects of situational awareness. 3 HRO Safety Skills 1 2 3 4 5 6 7 Situational awareness Crew resource management Information processing and decision-making Communication skills Teamwork and team skills Leadership and supervision Human factors predicting how a situation will evolve allow surgeons and their team to see the clinical “big picture” and to be ready for any unexpected events.

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Current therapy in colon and rectal surgery by Victor W Fazio; James M Church; C P Delaney

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