BOOK
Patient Safety, An Issue of Oral and Maxillofacial Clinics of North America, E-Book
David W. Todd | Jeffrey D. Bennett
(2017)
Additional Information
Book Details
Abstract
This issue of Oral and Maxillofacial Surgery Clinics of North America focuses on Patient Safety, and is edited by Drs. David Todd and Jeffrey D. Bennett. Articles will include: General concepts of patient safety for the oral surgeon; Proper management of medications to limit errors; Preventing wrong site surgery for the oral and maxillofacial surgeon; Fire safety for the oral surgeon and staff; Preoperative preparation and planning of the oral and maxillofacial surgery patient; Team, staff, and simulation training; Obstructive sleep apnea and obesity considerations for the oral surgeon; Monitoring for the oral and maxillofacial surgeon; Discharge criteria and how it is impacted by patient and procedure; The malpractice system versus patient safety; Equipment safety, maintenance and inspection; Reporting systems and surgery registries for the oral surgeon, and more!
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Patient Safety\r | i | ||
| Copyright\r | ii | ||
| Contributors | iii | ||
| CONSULTING EDITOR | iii | ||
| EDITORS | iii | ||
| AUTHORS | iii | ||
| Contents | v | ||
| Preface | v | ||
| General Concepts of Patient Safety for the Oral and Maxillofacial Surgeon | v | ||
| Preoperative Preparation and Planning of the Oral and Maxillofacial Surgery Patient | v | ||
| Proper Management of Medications to Limit Errors: What the Oral Surgeon Should Know to Limit Medication Errors and Adverse ... | v | ||
| Preventing Wrong-Site Surgery in Oral and Maxillofacial Surgery\r | v | ||
| Monitoring for the Oral and Maxillofacial Surgeon | v | ||
| Simulation Training for the Office-Based Anesthesia Team | vi | ||
| Fire Safety for the Oral and Maxillofacial Surgeon and Surgical Staff | vi | ||
| Outpatient Anesthetic Safety Considerations for Obstructive Sleep Apnea | vi | ||
| Discharge Criteria, Impact of the Patient and the Procedure: What the Oral Surgeon Should Know | vi | ||
| Equipment Safety, Maintenance and Inspection: What the Oral Surgeon Needs to Know | vii | ||
| Patient Safety and the Malpractice System | vii | ||
| Quality Improvement and Reporting Systems: What the Oral and Maxillofacial Surgeon Should Know | vii | ||
| ORAL AND MAXILLOFACIAL SURGERY\rCLINICS OF NORTH AMERICA\r | viii | ||
| FORTHCOMING ISSUES | viii | ||
| August 2017 | viii | ||
| November 2017 | viii | ||
| February 2018 | viii | ||
| RECENT ISSUES | viii | ||
| February 2017 | viii | ||
| November 2016 | viii | ||
| August 2016 | viii | ||
| Preface | ix | ||
| General Concepts of Patient Safety for the Oral and Maxillofacial Surgeon | 121 | ||
| Key points | 121 | ||
| SAFETY CULTURE | 127 | ||
| Resources in Patient Safety | 128 | ||
| REFERENCES | 128 | ||
| Preoperative Preparation and Planning of the Oral and Maxillofacial Surgery Patient | 131 | ||
| Key points | 131 | ||
| INTRODUCTION | 131 | ||
| MEDICAL HISTORY | 131 | ||
| MEDICATION RECONCILIATION | 132 | ||
| TRACKING DATA | 133 | ||
| AIRWAY ASSESSMENT | 134 | ||
| PREEMPTIVE MANAGEMENT OF NAUSEA AND VOMITING | 134 | ||
| PROPHYLACTIC ANTIBIOTICS | 135 | ||
| PREOPERATIVE, INTRAOPERATIVE, AND POSTOPERATIVE PAIN CONTROL | 136 | ||
| PATIENT POPULATIONS | 136 | ||
| The Pediatric Patient | 136 | ||
| The Geriatric Patient | 137 | ||
| Anesthetic Management: The Risk | 137 | ||
| CONTINUITY OF CARE | 138 | ||
| SUMMARY | 139 | ||
| REFERENCES | 139 | ||
| Proper Management of Medications to Limit Errors | 141 | ||
| Key points | 141 | ||
| DEFINITION OF MEDICATION ERROR AND ADVERSE DRUG EVENT | 141 | ||
| IDENTIFYING AND MANAGING MEDICATION ERRORS AND ADVERSE DRUG EVENTS IN HEALTH CARE | 142 | ||
| MEDICATION ERRORS AND ADVERSE DRUG EVENTS IN ANESTHESIA | 142 | ||
| TYPES OF MEDICATION ERRORS IN ANESTHESIA | 142 | ||
| MEDICATION ERROR AND ADVERSE DRUG EVENTS CONTRIBUTING FACTORS | 143 | ||
| Reducing the Incidence of Perioperative Medication Errors and Adverse Drug Events | 144 | ||
| ANESTHESIA MEDICATION ERRORS AND ADVERSE DRUG EVENTS IN ORAL AND MAXILLOFACIAL SURGERY | 145 | ||
| REDUCING THE INCIDENCE OF ANESTHESIA MEDICATION ERRORS AND ADVERSE DRUG EVENTS IN ORAL AND MAXILLOFACIAL SURGERY OFFICES | 145 | ||
| Improve Medication Safety Education | 145 | ||
| Know the Patient | 146 | ||
| Know the Drugs | 146 | ||
| Proper Management of Anesthetic Agents | 146 | ||
| Proper Management of Emergency Medication | 147 | ||
| IMPLEMENTING A MEDICATION SAFETY PLAN IN AN ORAL AND MAXILLOFACIAL SURGERY FACILITY | 148 | ||
| SUMMARY | 148 | ||
| REFERENCES | 148 | ||
| Preventing Wrong-Site Surgery in Oral and Maxillofacial Surgery | 151 | ||
| Key points | 151 | ||
| CAUSES OF WRONG-SITE SURGERY | 152 | ||
| UTILITY FOR ORAL AND MAXILLOFACIAL SURGERY | 153 | ||
| PREVENTION OF WRONG TOOTH EXTRACTION | 154 | ||
| Education | 154 | ||
| Developing the Surgical Team | 154 | ||
| Checklists | 155 | ||
| Sign In | 155 | ||
| Time Out | 156 | ||
| Sign Out | 156 | ||
| REFERENCES | 157 | ||
| Monitoring for the Oral and Maxillofacial Surgeon | 159 | ||
| Key points | 159 | ||
| INTRODUCTION | 159 | ||
| STANDARDS AND GUIDELINES | 160 | ||
| THE PURSUIT OF PATIENT SAFETY | 160 | ||
| PARAMETERS AND MODALITIES OF ANESTHETIC MONITORING | 161 | ||
| Level of Consciousness | 161 | ||
| Oxygenation | 161 | ||
| Pulse oximetry | 161 | ||
| Ventilation | 163 | ||
| Direct observation | 163 | ||
| Pretracheal auscultation | 163 | ||
| Capnography | 163 | ||
| Colorimetric CO2 detectors | 164 | ||
| Circulation | 164 | ||
| HEART RATE AND RHYTHM | 166 | ||
| SUMMARY | 167 | ||
| REFERENCES | 167 | ||
| Simulation Training for the Office-Based Anesthesia Team | 169 | ||
| Key points | 169 | ||
| INTRODUCTION | 169 | ||
| WHAT IS SIMULATION? | 169 | ||
| THE NEED FOR OFFICE-BASED SIMULATION TRAINING | 170 | ||
| TYPES OF SIMULATORS | 170 | ||
| WHAT IS LEARNED FROM EMERGENCY DRILLS? | 171 | ||
| Procedural Familiarity, Task Acquisition, and Assessment | 171 | ||
| Team Function | 173 | ||
| CRITICAL CARE PATHWAYS AND EMERGENCY MANUALS | 173 | ||
| ROLES AND RESPONSIBILITIES | 174 | ||
| DOES SIMULATION MAKE A DIFFERENCE? | 174 | ||
| SIMULATION TRAINING SCENARIOS AND RESOURCES | 176 | ||
| SHOULD THIS BE STANDARD OF CARE? | 177 | ||
| THE FUTURE OF SIMULATION | 177 | ||
| REFERENCES | 177 | ||
| Fire Safety for the Oral and Maxillofacial Surgeon and Surgical Staff | 179 | ||
| Key points | 179 | ||
| INTRODUCTION | 179 | ||
| CAUSES OF FIRE | 180 | ||
| IGNITION SOURCES | 180 | ||
| FUEL SOURCES | 180 | ||
| OXIDIZER | 180 | ||
| MANAGEMENT OF A FIRE | 182 | ||
| Rescue | 182 | ||
| Alarm or Alert | 182 | ||
| Confine or Contain | 182 | ||
| Extinguish | 182 | ||
| ROLES | 182 | ||
| PREPARATION | 182 | ||
| MANAGEMENT | 183 | ||
| TYPES OF FIRES | 184 | ||
| SUMMARY | 186 | ||
| REFERENCES | 186 | ||
| Outpatient Anesthetic Safety Considerations for Obstructive Sleep Apnea | 189 | ||
| Key points | 189 | ||
| PREOPERATIVE MANAGEMENT | 190 | ||
| Does the Patient Have Obstructive Sleep Apnea? | 190 | ||
| Overnight Versus Home Polysomnogram | 190 | ||
| Clinical Assessment | 191 | ||
| Where to Provide Care? | 191 | ||
| Use of Preoperative Continuous Positive Airway Pressure | 191 | ||
| Reflux and Aspiration Precautions | 192 | ||
| INTRAOPERATIVE MANAGEMENT | 192 | ||
| Obstructive Sleep Apnea and Anesthesia | 192 | ||
| POSTOPERATIVE MANAGEMENT | 192 | ||
| Rapid Eye Movement Sleep Rebound | 192 | ||
| Postoperative Medications | 193 | ||
| Criteria for Discharge | 194 | ||
| SUMMARY | 194 | ||
| REFERENCES | 194 | ||
| Discharge Criteria, Impact of the Patient and the Procedure | 197 | ||
| Key points | 197 | ||
| GENERAL OVERVIEW OF DISCHARGE CRITERIA | 197 | ||
| STANDARD DISCHARGE CRITERIA | 198 | ||
| REVIEW OF SPECIFIC DISCHARGE CRITERIA | 198 | ||
| Level of Consciousness | 198 | ||
| Stability of Vital Signs: Ventilation | 199 | ||
| Stability of Vital Signs: Oxygenation | 200 | ||
| Stability of Vital Signs: Circulation | 200 | ||
| Stability of Vital Signs: Temperature | 200 | ||
| Control of Bleeding | 200 | ||
| Control of Vomiting/Nausea | 201 | ||
| Control of Postoperative Pain | 202 | ||
| Postoperative Instructions | 203 | ||
| SPECIAL ANESTHETIC CONCERNS | 203 | ||
| Ketamine | 204 | ||
| Pharmacologic Options | 204 | ||
| SPECIAL PATIENT CONCERNS | 204 | ||
| Diabetic Patients | 204 | ||
| Obstructive Sleep Apnea | 204 | ||
| Pediatric, Geriatric, and Special Needs Patients | 205 | ||
| SPECIFIC PROCEDURES | 205 | ||
| POSTOPERATIVE CHECKUP | 206 | ||
| SUMMARY | 206 | ||
| REFERENCES | 206 | ||
| Equipment Safety, Maintenance and Inspection | 209 | ||
| Key points | 209 | ||
| INTRODUCTION | 209 | ||
| ELECTRICAL SAFETY AND CALIBRATION | 210 | ||
| Sterilizer Maintenance for Patient Safety and Equipment Longevity | 212 | ||
| RADIATION SAFETY IN RELATION TO DIAGNOSTIC RADIATION EQUIPMENT | 216 | ||
| MEDICAL GASES | 217 | ||
| BACK-UP POWER AND LIGHTING | 219 | ||
| SUMMARY/DISCUSSION | 219 | ||
| REFERENCES | 221 | ||
| Patient Safety and the Malpractice System | 223 | ||
| Key points | 223 | ||
| RISK MANAGEMENT AND IMPACT ON PATIENT SAFETY | 224 | ||
| Risk Management | 224 | ||
| Informed Consent | 224 | ||
| Patient Safety Integrated into Risk Management | 225 | ||
| THE MALPRACTICE TORTS SYSTEM COMPARED WITH DISCLOSURE AND ADMISSION | 226 | ||
| Anatomy of a Malpractice Claim | 226 | ||
| Anatomy of Disclosure and Admission | 226 | ||
| REFERENCES | 227 | ||
| Quality Improvement and Reporting Systems | 229 | ||
| Key points | 229 | ||
| INTRODUCTION | 229 | ||
| DEFINING PATIENT SAFETY | 229 | ||
| PROMOTING A SAFETY CULTURE | 230 | ||
| IMPLEMENTING A SAFETY PROGRAM | 230 | ||
| Minimizing Risks | 230 | ||
| Managing Adverse Events | 230 | ||
| Incident reporting | 230 | ||
| Adverse event analysis | 231 | ||
| ASSESSMENT OF SAFETY PROGRAMS | 232 | ||
| Self-Assessment Tools | 232 | ||
| Benchmarking | 233 | ||
| EXTERNAL DRIVERS OF SAFETY | 234 | ||
| FUTURE DIRECTION | 234 | ||
| SUMMARY | 236 | ||
| REFERENCES | 236 | ||
| Index | 239 |