Management of high-risk perioperative systems.
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.
Dain
Steven
S
Department of Anesthesiology and Perioperative Medicine, University of Western Ontario, London Health Sciences Centre, University Campus, Ontario, Canada. sdain@uwo.ca
D006801:Humans; D019300:Medical Errors / Q000517:prevention & control*; D019990:Perioperative Care / Q000592:standards; D018570:Risk Assessment; D012308:Risk Management; D040242:Risk Reduction Behavior