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
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More AMC PSO Content
Publications such as whitepapers and guidelines derived from the AMC PSO convenings.
Informed Refusal Patient Care
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Pharmacy Compounding Safe Practice Recommendations
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Patient Safety Alert Issue 14: The AMC PSO recently held its follow up Medication Safety Task Force collaborative convening session to discuss the best practices regarding the issues within compounding sterile preparations and patient safety that were brought up in the first meeting.
Delayed Diagnosis
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Patient Safety Alert Issue 11: The AMC PSO has performed an in-depth analysis of patient safety issues in the ED setting and has identified practices employed to reduce risks that were the result of missed or delayed diagnoses.