Addressing flow disruptions (FDs) in neurosurgery requires a multifaceted approach.
Strategies like improved communication protocols, minimizing interruptions, improving …

Objectives Historically, health care has relied on error management techniques to measure
and reduce the occurrence of adverse events. This study proposes an alternative approach …

Adverse events are the sine qua non of quality improvement initiatives. They serve as the
prime motivator behind systematic efforts to improve outcomes and to reduce error and …

Interruptions and disruptions in complex healthcare environments, such as trauma rooms,
can lead to compromised workflow and safety issues due to the physical environment's …

Because of its high level of complexity, neurosurgery is a high-risk specialty, and improving
patient outcomes has remained central in its spectrum of academic pursuits. However, only …

Disruptions are common occurrences in a variety of healthcare settings and early research
has shown that they are likely contributors to medical errors. For this reason, healthcare …

THE publication of the Institute of Medicine (IOM) report To Err Is Human in 2000 is often
heralded as the birth of the patient safety movement, but in reality, recognition of the role that …

Background Adverse events reportedly occur in 5% to 10% of health care episodes. Not all
adverse events are the result of error; they may arise from systemic faults in the delivery of …

Background Studies in operating rooms (OR) show that minor disruptions tend to group
together to result in serious adverse events such as surgical errors. Understanding the …

Objectives: Operating rooms (ORs) and surgical settings are potential sources of sentinel
adverse events. To better understand the characteristics of errors in OR processes, we …