rss
BMJ Qual Saf 21:1 doi:10.1136/bmjqs-2011-000517
  • Editorial

The operating room dance

  1. Julie Ann Freischlag
  1. Correspondence to Dr Julie Ann Freischlag, Department of Surgery, Johns Hopkins, 720 Rutland Avenue 759 Ross, Baltimore, MD 21205, USA; jfreisc1{at}jhmi.edu

Gillespie and colleagues have reported on their structured observations in operating rooms to help us understand which factors (interruptions, communication failures, team familiarity and the unpredictability of unplanned cases) prolong the length of an operation and lead to inefficiency and increased costs. All of us feel intuitively that a well-orchestrated operation is best for everyone involved—the patient, the surgeon, the anaesthesiologist, the nurse and the hospital's bottom line. Communication failures have been identified by Makary and others to cause the majority of errors in the operating room as reviewed retrospectively.1–3 This paper is one of the very first to observe communication failures in real time and connect those communication failures to a longer than expected operating time.

In order to improve communication, many operating room teams have expanded the perioperative …

No Related Web Pages

Free sample

This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of BMJ Quality & Safety.
View free sample issue >>

Email alerts

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

 

Navigate This Article