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Volumn 18, Issue 1, 2011, Pages 55-60

Prevention of 3 "never events" in the operating room: Fires, gossypiboma, and wrong-site surgery

Author keywords

ergonomics and or human factors study; evidence based medicine surgery; surgical education

Indexed keywords

ARTICLE; EVIDENCE BASED PRACTICE; FIRE; GOSSYPIBOMA; HUMAN; INTERPERSONAL COMMUNICATION; MEDICAL LITERATURE; MEDICATION ERROR; MEDLINE; META ANALYSIS; NOISE; OPERATING ROOM; OUTCOME ASSESSMENT; PATIENT SAFETY; POSTOPERATIVE COMPLICATION; POSTOPERATIVE INFECTION; RETAINED INSTRUMENT; SIMULATION; SURGICAL ERROR; SYSTEMATIC REVIEW; TEAMWORK; WRONG SITE SURGERY;

EID: 79952978326     PISSN: 15533506     EISSN: None     Source Type: Journal    
DOI: 10.1177/1553350610389196     Document Type: Article
Times cited : (26)

References (32)
  • 2
    • 60549088680 scopus 로고    scopus 로고
    • The error of omission: A simple checklist approach for improving operating room safety
    • Rosenfield LK, Chang DS The error of omission: a simple checklist approach for improving operating room safety. Plast Reconstr Surg. 2009 ; 123: 399-401.
    • (2009) Plast Reconstr Surg , vol.123 , pp. 399-401
    • Rosenfield, L.K.1    Chang, D.S.2
  • 3
    • 42549122921 scopus 로고    scopus 로고
    • Practice advisory for the prevention and management of operating room fires: A report by the American Society of Anesthesiologists Task Force on Operating Room Fires
    • Caplan RA, Barker SJ, Connis RT, et al. Practice advisory for the prevention and management of operating room fires: a report by the American Society of Anesthesiologists Task Force on Operating Room Fires. Anesthesiology. 2008 ; 108: 786-801.
    • (2008) Anesthesiology , vol.108 , pp. 786-801
    • Caplan, R.A.1    Barker, S.J.2    Connis, R.T.3
  • 4
    • 10644283991 scopus 로고    scopus 로고
    • Surgical fires: Perioperative communication is essential to prevent this rare but devastating complication
    • DOI 10.1136/qshc.2003.005819
    • Bruley ME Surgical fires: perioperative communication is essential to prevent this rare but devastating complication. Qual Saf Health Care. 2004 ; 13: 467-471. (Pubitemid 39647358)
    • (2004) Quality and Safety in Health Care , vol.13 , Issue.6 , pp. 467-471
    • Bruley, M.E.1
  • 5
    • 16844371723 scopus 로고    scopus 로고
    • Fire in the operating room: Principles and prevention
    • Daane SP, Toth BA Fire in the operating room: principles and prevention. Plast Reconstr Surg. 2005 ; 115: 73e - 75e.
    • (2005) Plast Reconstr Surg , vol.115
    • Daane, S.P.1    Toth, B.A.2
  • 6
    • 56849091813 scopus 로고    scopus 로고
    • Fire safety in the operating room
    • Rinder CS Fire safety in the operating room. Curr Opin Anaesthesiol. 2008 ; 21: 790-795.
    • (2008) Curr Opin Anaesthesiol , vol.21 , pp. 790-795
    • Rinder, C.S.1
  • 7
    • 42749090013 scopus 로고    scopus 로고
    • Fire/burn risk with electrosurgical devices and endoscopy fiberoptic cables
    • Smith LP, Roy S. Fire/burn risk with electrosurgical devices and endoscopy fiberoptic cables. Am J Otolaryngol. 2008 ; 29: 171-176.
    • (2008) Am J Otolaryngol , vol.29 , pp. 171-176
    • Smith, L.P.1    Roy, S.2
  • 8
    • 78650419780 scopus 로고    scopus 로고
    • Alcohol based surgical prep solution and risk of fire in the operating room: A case report
    • Batra S., Gupta R. Alcohol based surgical prep solution and risk of fire in the operating room: a case report. Patient Safe Surg. 2008 ; 2: 1-3.
    • (2008) Patient Safe Surg , vol.2 , pp. 1-3
    • Batra, S.1    Gupta, R.2
  • 9
    • 0034803302 scopus 로고    scopus 로고
    • Fire in the operating room: A case report and laboratory study
    • Barker SJ, Polson JS Fire in the operating room: a case report and laboratory study. Anesth Analg. 2001 ; 93: 960-965. (Pubitemid 32905986)
    • (2001) Anesthesia and Analgesia , vol.93 , Issue.4 , pp. 960-965
    • Barker, S.J.1    Polson, J.S.2
  • 10
    • 79952918428 scopus 로고    scopus 로고
    • Emergency Care Research Institute
    • Emergency Care Research Institute. Only you can prevent surgical fires. https://www.ecri.org/Documents/Patient-Safety-Center/Surgical-Fires-Poster-E. pdf. Accessed November 16, 2010.
    • (2010) Only You Can Prevent Surgical Fires
  • 11
    • 68049089962 scopus 로고    scopus 로고
    • Improving safety in the operating room: A systematic literature review of retained surgical sponges
    • Wan W., Le T., Riskin L., Macario A. Improving safety in the operating room: a systematic literature review of retained surgical sponges. Curr Opin Anaesthesiol. 2009 ; 22: 207-214.
    • (2009) Curr Opin Anaesthesiol , vol.22 , pp. 207-214
    • Wan, W.1    Le, T.2    Riskin, L.3    MacArio, A.4
  • 12
    • 45549093975 scopus 로고    scopus 로고
    • Incidence and characteristics of potential and actual retained foreign object events in surgical patients
    • Cima RR, Kollengode A., Garnatz J., Storsveen A., Weisbrod C., Deschamps C. Incidence and characteristics of potential and actual retained foreign object events in surgical patients. J Am Coll Surg. 2008 ; 207: 80-87.
    • (2008) J Am Coll Surg , vol.207 , pp. 80-87
    • Cima, R.R.1    Kollengode, A.2    Garnatz, J.3    Storsveen, A.4    Weisbrod, C.5    Deschamps, C.6
  • 14
    • 37549072238 scopus 로고    scopus 로고
    • Beyond counting: Current evidence on the problem of retaining foreign bodies in surgery
    • Greenberg CC, Gawande AA Beyond counting: current evidence on the problem of retaining foreign bodies in surgery ? Ann Surg. 2008 ; 247: 19-20.
    • (2008) Ann Surg , vol.247 , pp. 19-20
    • Greenberg, C.C.1    Gawande, A.A.2
  • 16
    • 33646831340 scopus 로고    scopus 로고
    • Recommended practices for sponge, sharps, and instrument counts
    • AORN Recommended Practices Committee
    • AORN Recommended Practices Committee. Recommended practices for sponge, sharps, and instrument counts. AORN J. 2006 ; 83: 418-433.
    • (2006) AORN J. , vol.83 , pp. 418-433
  • 19
    • 37549030914 scopus 로고    scopus 로고
    • Managing the prevention of retained surgical instruments: What is the value of counting
    • Egorova NN, Moskowitz A., Gelijns A., et al. Managing the prevention of retained surgical instruments: what is the value of counting ? Ann Surg. 2008 ; 247: 13-18.
    • (2008) Ann Surg , vol.247 , pp. 13-18
    • Egorova, N.N.1    Moskowitz, A.2    Gelijns, A.3
  • 22
    • 33746034614 scopus 로고    scopus 로고
    • Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using radiofrequency identification technology
    • DOI 10.1001/archsurg.141.7.659
    • Macario A., Morris D., Morris S. Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using radiofrequency identification technology. Arch Surg. 2006 ; 141: 659-662. (Pubitemid 44079827)
    • (2006) Archives of Surgery , vol.141 , Issue.7 , pp. 659-662
    • Macario, A.1    Morris, D.2    Morris, S.3
  • 23
    • 34347374676 scopus 로고    scopus 로고
    • Radio frequency identification (RFID) applied to surgical sponges
    • DOI 10.1007/s00464-007-9308-7
    • Rogers A., Jones E., Oleynikov D. Radio frequency identification (RFID) applied to surgical sponges. Surg Endosc. 2007 ; 21: 1235-1237. (Pubitemid 47024770)
    • (2007) Surgical Endoscopy , vol.21 , Issue.7 , pp. 1235-1237
    • Rogers, A.1    Jones, E.2    Oleynikov, D.3
  • 25
    • 33645866776 scopus 로고    scopus 로고
    • Incidence, patterns, and prevention of wrong-site surgery
    • Kwaan MR, Studdert DM, Zinner MJ, Gawande AA Incidence, patterns, and prevention of wrong-site surgery. Arch Surg. 2006 ; 141: 353-357.
    • (2006) Arch Surg , vol.141 , pp. 353-357
    • Kwaan, M.R.1    Studdert, D.M.2    Zinner, M.J.3    Gawande, A.A.4
  • 27
    • 49349112907 scopus 로고    scopus 로고
    • Theatre checklists and patient safety [editorial]
    • Wilson IH, Walker IA Theatre checklists and patient safety [editorial]. Anesthesia. 2008 ; 63: 921-923.
    • (2008) Anesthesia , vol.63 , pp. 921-923
    • Wilson, I.H.1    Walker, I.A.2
  • 28
    • 34547608082 scopus 로고    scopus 로고
    • Perioperative patient safety: Correct patient, correct surgery, correct side - A multifaceted, cross-organizational, interventional study
    • DOI 10.1213/01.ane.0000267521.75245.ad, PII 0000053920070800000027
    • Zohar E., Noga Y., Davidson E., Kantor M., Fredman B. Perioperative patient safety: correct patient, correct surgery, correct side-a multifaceted cross-organizational, interventional study. Anesth Analg. 2007 ; 105: 443-447. (Pubitemid 47196425)
    • (2007) Anesthesia and Analgesia , vol.105 , Issue.2 , pp. 443-447
    • Zohar, E.1    Noga, Y.2    Davidson, E.3    Kantor, M.4    Fredman, B.5
  • 29
    • 59449089116 scopus 로고    scopus 로고
    • Safe Surgery Saves Lives Study Group. A surgical safety checklist to reduce morbidity and mortality in a global population
    • Haynes AB, Weiser TG, Berry WR,, et al. Safe Surgery Saves Lives Study Group. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009 ; 360: 491-499.
    • (2009) N Engl J Med , vol.360 , pp. 491-499
    • Haynes, A.B.1    Weiser, T.G.2    Berry, W.R.3
  • 32
    • 38549107212 scopus 로고    scopus 로고
    • Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication
    • DOI 10.1001/archsurg.2007.21
    • Lingard L., Regehr G., Orser B., et al. Evaluation of a preoperative checklist and team breifing among surgeons, nurses, and anesthesiologists to reduce failures in communication. Arch Surg. 2008 ; 143: 12-17. (Pubitemid 351159287)
    • (2008) Archives of Surgery , vol.143 , Issue.1 , pp. 12-17
    • Lingard, L.1    Regehr, G.2    Orser, B.3    Reznick, R.4    Baker, G.R.5    Doran, D.6    Espin, S.7    Bohnen, J.8    Whyte, S.9


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.