Management of High-Risk Perioperative SystemsDepartment of Anesthesiology and Perioperative Medicine, University of Western Ontario, Ontario, Canada., sdain{at}uwo.ca The perioperative system is a complex system that requires people, materials, and processes to come together in a highly ordered and timely manner. However, when working in this high-risk system, even well-organized, knowledgeable, vigilant, and well-intentioned individuals will eventually make errors. All systems need to be evaluated on a continual basis to reduce the risk of errors, make errors more easily recognizable, and provide methods for error mitigation. A simple approach to risk management that may be applied in clinical medicine is discussed.
Key Words: perioperative system risk management high-risk systems
Seminars in Cardiothoracic and Vascular Anesthesia, Vol. 10, No. 2,
180-183 (2006) |
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