Perioperative care may be considered as a system amenable to industrial design approaches. The current care model is disjointed, prone to breakdown by failure of one component, and hostile to personnel. Moving a patient as a person and data set through the flow of perioperative care is not only possible, but it is essential for efficiency and safety. Perioperative systems design integrates the ...

Prevention of percutaneous sharps injuries in perioperative settings remains a challenge. Occupational transmission of bloodborne pathogens, not only from patients to health care providers but also from health care providers to patients, is a significant concern. Legislation and position statements geared toward ensuring the safety of patients and health care workers have not resulted in signif...

BACKGROUND In health care, most preventable adverse events occur in the operating room. Surgical safety checklists have become a standard of care for safe operating room practice, but there is conflicting evidence for the effectiveness of checklists to improve perioperative outcomes in some populations. Our objective was to determine whether surgical safety checklists are associated with a redu...

In recent years, there has been an increased emphasis on the role of anesthesiologists as perioperative physicians. However, a new group of physicians called hospitalists has emerged and established a role as perioperative physicians. Most hospitalists have specialized in internal medicine and its subspecialties. We reviewed American medical literature over the last 13 years on the roles of ane...

background craniosynostosis results from premature closure of one or more cranial sutures, leading to deformed calvaria and craniofacial skeleton at birth. postoperative complications and outcome in intensive care unit (icu) is related to surgical method and perioperative management. this study determined the perioperative risk factors, which affect outcome of patients after craniosynostosis su...

this review provides an overview of the present knowledge on the aspects of preoperative fasting with the assessment of the evidence quality. a systematic research was conducted in electronic databases in order to identify trials published between 1990 and 2014 concerning preoperative fasting, early resumption of oral intake and the effects of oral carbohydrate mixtures on gastric emptying and ...

Changes in perioperative management is an ever evolving subject. The primary aim is to improve patient care and more recently to increase economic efficacy. Data from various randomized studies have caused a shift from traditional care concepts towards evidence based multimodal treatment strategies. They may lead to dramatic changes in perioperative patient care such as the routine use of nasog...

May 2014 • Volume 118 • Number 5 Copyright © 2014 International Anesthesia Research Society DOI: 10.1213/ANE.0000000000000190 HEALTH CARE IN THE UNITED STATES: WHAT’S THE UNDERLYING PROBLEM? Health care has been a subject of national debate in the United States for the past decade, as we are facing a crisis in both the quality and the cost of delivered care. Why are health care costs in the Uni...

BACKGROUND Radical surgery provides the best chance of cure for adrenocortical carcinoma (ACC), but perioperative surgical care for these patients is yet to be standardized. METHODS A working group appointed jointly by ENSAT and ESES used Delphi methodology to produce evidence-based recommendations for the perioperative surgical care of patients with ACC. Papers were retrieved from electronic...

Obesity (ie, a body mass index of ≥30 kg/m(2)) is increasing in the United States. As a result, more overweight individuals are being surgically treated for weight loss, thus making it imperative for perioperative RNs to understand obesity's effects on patients' health, its contribution to significant comorbidities (eg, diabetes, cardiovascular disease, hypertension, sleep apnea, musculoskeleta...