Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care.

Yue-Yung Hu; Alexander F. Arriaga; Emilie M. Roth; Sarah Peyre; Katherine A. Corso; Richard S. Swanson; Robert T. Osteen; Pamela Schmitt; Angela M. Bader; Michael J. Zinner; Caprice C. Greenberg

Study

Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care.

July 25, 2012

Hu Y-Y, Arriaga AF, Roth EM, et al. Ann Surg. 2012;256(2):203-10.

View more articles from the same authors.

Analysis of video recordings of 10 complex surgical procedures identified an average of 3 deviations (delays or patient safety concerns) per procedure, most often due to problems with communication or environmental design.

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Operating Room

Physicians

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Quality and Safety Professionals

Surgery

Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care.

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