title: Beware of "black swans" and "perfect storms:" the principle of plenitude and office-based anesthesia.
abstract: A paradigm shift in the training, practice, and study of office-based anesthesia is necessary for our specialty. Practice improvement plans are required to prevent low-probability-high-consequence anesthesia mishaps in our offices. A scarcity of statistical data exists regarding the true risk of office-based anesthesia in oral and maxillofacial surgery. Effective proactive risk management mandates accurate data to correctly outline the problem before solutions can be implemented. Only by learning from our mistakes, will we be able to reduce errors and improve patient safety: "The only real mistake is the one from which we learn nothing"--John Powell.
authors.affiliation: Assistant Professor, Department of Oral and Maxillofacial Surgery, University of Texas School of Dentistry, Houston, TX. Electronic address: Trevor.E.Treasure@uth.tmc.edu.
authors.forename: Trevor E
authors.initials: TE
authors.lastname: Treasure
mesh_terms: D000766:Anesthesia, Dental / Q000009:adverse effects; D006801:Humans; D009819:Office Visits; D011336:Probability; D012308:Risk Management