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From The CriticsReviewer: David J. Dries, MD (University of Minnesota Medical School)
Description: This book summarizes safety practices designed to lead to high quality outcomes in surgery.
Purpose: An overview of quality and safety approaches in the operating room is provided as a stepping stone to future work in this area.
Audience: Surgeons, administrators, and support personnel working in quality programs are an appropriate audience for this work, which comes from leaders in the American surgical quality effort.
Features: The book is broadly divided into eight categories followed by a one-chapter conclusion. Initial chapters describe early work in safety featuring the time-out process fostered by the World Health Organization and the American College of Surgeons National Surgical Quality Improvement Program (NSQIP). A second group of chapters describes analysis of errors and discussion of errors with patients and families. Risk assessment and common complications with their management are then discussed. Other sections emphasize the evolution of organizations promoting safety, education in a safety culture, and use of team training and proctoring strategies to teach safety. A concluding group of chapters describes the medical legal process, including malpractice exposure and tort reform. Chapters are clearly written and contain varying degrees of detail. Good use is made of tables, but color illustrations reproduce with uneven quality. Chapters include ample reference lists featuring primary literature dating to within one to two years of publication.
Assessment: This is an excellent introduction to safety protocols in surgical practice. Quality and safety are reviewed, beginning with appropriate operative preparation through the process of legal considerations. Clinical examples come from common procedures performed using minimally invasive technique. This overview is excellent preparation for a surgical safety officer.