‘Never events continue to happen, we can never be complacent. We need to embrace safety science at scale and equip staff to understand how human factors affect safety. Patients put their trust and health into clinical hands and judgement so we must strive to make surgery safer…’ …
In one case, a facial fire occurred involving the ESU active electrode in an oxygen-enriched environment. In the second case, inadvertent activation of the ESU ignited bone cement being used in an orthopedic procedure…
When a needle is lost during surgery, consider the following before ordering fluoroscopy. Needles of chord length greater than 13 mm (6–0) should be reliably detected whilst 3.8 mm (10–0) needles will not. For sizes in between, ideal conditions for detection may include an operating field in the lower limb, high‐resolution fluoroscopy and a senior observer…. …
No matter the hospital or practice, operating room issues are bound to arise. In some cases, those issues can become huge detriments to the safety of both patients and surgical
The point of surgical procedures is to save or improve the quality of our lives, but things can and do go wrong because of system or human errors. In too
A patient at a southern New Jersey hospital inadvertently got a transplanted kidney that was intended for another patient, officials confirmed to CNN Tuesday. The 51-year-old patient was on the transplant list
The president of Massachusetts General Hospital has long insisted that it was perfectly safe for some surgeons to oversee two operations at the same time. Dr. Peter Slavin told the Globe
Good Samaritan Hospital in Puyallup said Sunday it is canceling more than 140 elective surgeries this week after discovering flecks of plastic on some surgical trays. KIRO 7 reached out to a spokesperson
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