Newsletter
Surgical Fires: Electrosurgical Cases
Dec 31, 2011
Patient Safety Alert 5: Surgical Fires: Electrosurgical Cases (PDF)
The AMC PSO has identified a series of practices employed to address the factors that can contribute to surgical fires.
Safety Strategies: Prevention
- Interventions should be directed at the entire team rather than the provider wielding the electrosurgical unit (ESU).
- Each member of the team must be constantly aware of changing risks during the case (e.g., patient shifting causing tenting that creates an oxygen rich environment) and be empowered to identify and address these risks.
AMC PSO
Our Patient Safety Organization convenes clinical leaders to identify and mitigate emerging risks.
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More AMC PSO Content
Publications such as whitepapers and guidelines derived from the AMC PSO convenings.
Programmable Medical Equipment Risks and Interventions
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Patient Safety Alert Issue 3: The AMC PSO has identified a series of practices employed to address the factors that can contribute to risk associated with programmable medical devices.
Cybersecurity and Recovery
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Patient Safety Alert Issue 32: Cybersecurity attacks topped the ECRI list of the Top 10 Health Technology Hazards for 2022.
Wrong Site Surgery Report
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Patient Safety Alert Issue 1: The AMC PSO has identified the a series of practices employed to address the factors that can contribute to a wrong-site surgery.
Test Result Notification
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Patient Safety Alert Issue 15: The AMC PSO recently held a collaborative convening session of its Ambulatory Patient Safety Leaders in order to both discuss current issues and possible solutions and propagate the natural progression of CRICO's established mission of helping health care providers turn credible data into effective action.