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Checklists, Surgical Timeout, Briefing, and Debriefing: Safety in the Operating Room

Given that there has been extensive evidence supporting the efficacy of checklists, timeouts, and briefs/debriefs, these practices should be incorporated into every operating room. Continue reading 

Collings, A.T., Stefanidis, D. (2022). Checklists, Surgical Timeout, Briefing, and Debriefing: Safety in the Operating Room. In: Romanelli, J.R., Dort, J.M., Kowalski, R.B., Sinha, P. (eds) The SAGES Manual of Quality, Outcomes and Patient Safety. Springer, Cham.


Briefings: what can surgical and minimally invasive interventional teams learn from airline flight deck practice?

The team brief before any interventional list is one process that can have a significant effect on the delivery and safety of patient care and effective team working Continue reading 

M. Davidson, R.S. Oeppen, J. Hardie, M. Al-Gholmy, P.A. Brennan,
Briefings: what can surgical and minimally invasive interventional teams learn from airline flight deck practice?,
British Journal of Oral and Maxillofacial Surgery


The Patient is at the Center. Where is Everyone Else?

Why Clinical Workflow is the Next Healthtech Trend

Patient centered care has been a top healthcare mantra for years, starring in health system’s leadership top-of-mind topics and a leading investment thesis. However, a real healthcare transformation isn’t going to happen before provider enablement becomes an equal priority. Continue reading 


The Future of OR is Affordable

Low-cost and simple-to-implement healthtech drives health equity

In a webinar on the future of the operating room (OR), the speakers touched the topic of the cost of technology. Surgical innovation is expensive. A DaVinci robot, a surgical system that uses a minimally invasive surgical approach, has a $2-million price tag. Not every hospital can afford that.

“We’re missing the ‘Ford model T’ of robots”, one of the webinar speakers said. Continue reading 


Team Communication in Hospitals

Why Chiefy is Not 'Slack for Surgery'

In the age of Slack and WhatApp it’s a bit crazy that you need a 45 minutes’ webinar to explain the benefits of connecting groups of professionals through an asynchronous communication tool. But in healthcare, it’s the first harbingers of disruption. A few interesting points Continue reading


Why Pre-Op Huddle Sucks

The pre-op surgical team huddle is a game-changer. It is also impossible to sustain. Here's what you can do.

We talked to 90 perioperative clinicians and stakeholders. Nurses, anesthesiologists, surgeons, scrub technologists, vendor reps, intra-op monitoring, residents, fellows. Over 94% reported challenges with perioperative communication.  Continue reading 


Costs of Defects in Surgical Care: A Call to Eliminate Defects in Value
We are now entering a new era in medicine and surgery in which the focus will be elevated from the quality of care to its value. Continue reading

David W. Dietz, MD; William V. Padula, PhD, MS; Hanke Zheng, MS; Peter J. Pronovost, MD, PhD Costs of Defects in Surgical Care: A Call to Eliminate Defects in Value, NEJM Catalyst: November 2021 


Is It Possible to Shift Left in Surgery? | Bringing surgical teams closer to patients

How can surgery be safer and more efficient? By bringing the surgeon and the surgical team closer to the patient, earlier. Or “shifting left”. Continue reading


Breaking Functional Silos | From Software Development to Surgery

Surgery is a cross-functional team sport. Each surgical case requires the collaboration of a long list of highly interdependent professionals: surgeons, anesthesiologists, nurses, scrub techs, assistants, fellows, residents, equipment vendors, office admins, scheduling coordinators, supply chain people. And then there’s the patient. Continue reading


Dreyfus, D, Nair, A, Rosales, C. The impact of planning and communication on unplanned costs in surgical episodes of care: Implications for reducing waste in hospital operating rooms. J Oper Manag. 2020; 66: 91– 111.


Improving Communication and Teamwork in the Surgical Environment ModuleThe Agency for Healthcare Research and Quality's (AHRQ) toolkit


To Err is Human | Documentary 


Statement on Patient Safety in the Operating Room: Team Care | The American College of Surgeons (ACS)  


Zygourakis, C. C., Yoon, S., Valencia, V., Boscardin, C., Moriates, C., Gonzales, R., & Lawton, M. T. (2017). Operating room waste: disposable supply utilization in neurosurgical procedures, Journal of Neurosurgery JNS, 126(2), 620-625. from


Jain AL, Jones KC, Simon J, Patterson MD. The impact of a daily pre-operative surgical huddle on interruptions, delays, and surgeon satisfaction in an orthopedic operating room: a prospective study. Patient Saf Surg. 2015 Feb 21;9:8. doi: 10.1186/s13037-015-0057-6. PMID: 25705257; PMCID: PMC4336479.


Changing our culture to advance patient safety | The AANS Presidential Address

Huddles in Healthcare | Patient Safety Tip of the Weeks


To Err is Human: Building a Safer Health System | Institute of Medicine (US) Committee on Quality of Health Care in America


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