[Risk management in the operating room in cardiovascular and thoracic surgery; from the nursing point of view].
The primary risk management, on the side of a nurse, in the operating room includes prevention of misidentificatin of both the patient and the site of operation. Leaving of a foreign body in the patient, falling of the patient from the operating table, incidence of deep venous thrombosis and mismatch of blood transfusion should also be prevented with utmost care. The long operating time in cardiovascular surgery and the lateral position of the patient on the operating table in chest or esophageal surgery require additional risk management. Risks of pressure sore as well as nervous injury can be prevented by fixing the patient securely with soft pads to maintain comfortable posture. Above all, careful watching of the patient's condition is most important.
Nakano
Yaemi
Y
Department of Safety Management, Tokyo Medical University Hospital, Tokyo, Japan.
D013504:Cardiovascular Surgical Procedures / Q000451:nursing*; D006801:Humans; D009871:Operating Room Nursing / Q000379:methods*; D012308:Risk Management / Q000379:methods*; D019616:Thoracic Surgical Procedures / Q000451:nursing*