Abstract
Despite the introduction of the Universal Protocol, patient safety in surgery remains a daily challenge in the operating room. This present study describes one community health system's efforts to improve operating room safety through human factors training and ultimately the development of a surgical checklist. Using a combination of formal training, local studies documenting operating room safety issues and peer to peer mentoring we were able to substantially change the culture of our operating room. Our efforts have prepared us for successfully implementing a standardized checklist to improve operating room safety throughout our entire system. Based on these findings we recommend a multimodal approach to improving operating room safety.
Highlights
Memorial Health System is a community health care organization located in Colorado Springs, Colorado
Human factors training is based on the Crew Resource Management (CRM) programs championed by the airline industry
The initial human factors training was open to all of the surgeons who practiced at our hospital
Summary
Memorial Health System is a community health care organization located in Colorado Springs, Colorado. It is comprised of 650 beds located across 2 campuses. Many of the same attitudes that were present during these dark days of the airline industry are currently present in the operating rooms of today. Effective communication is critical for safety in both industries. The goal of these programs was to reduce the errors that occur from well-intentioned, highly skilled professionals working in a stressful environment
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