Risk Management Flashcards
A lack of ______ occurs in 79% of malpractice claims
vigilance
The most common precipitating factor for malpractice claims
Respiratory events
3 lessons learned from closed claims themes (2018)
Effective communication is vital
Not all patients are suitable for surgery in remote or office-based locations
Difficult airways can be encountered at any point in the perioperative period
This is vital between the OR team
communication
One of the most important aspects to uphold in order to prevent anesthetic mishaps
Vigilance
Very important to obtain and review pre op
patient health info/co-morbities/etc
The inability to _____/______ is one of the most feared complication in anesthesiology.
intubate/ventilate
Questionairre for OSA assessment pre op
STOP-BANG
Snore
Tired during the day
Observed apnea
Pressure high (blood pressure)
BMI > 35
Age > 50
Neck circumference > 40 cm
Gender (male?)
Patients at risk for opiate-induced respiratory depression include:
OSA, advanced age, prematurity, significant cardiac/pulmonary/renal disease.
claims of nerve injury are decreasing r/t _____ _______, but increasing secondary to _______ ______/______ and pain management
neuraxial anesthesia
regional anesthesia/analgesia
Vision loss most often affiliated with _____ and _____ surgery.
spine and cardiac
In all cases, must prevent ______ abrasions
corneal
15% of lawsuits with 64% associated with death and 21% with brain damage
MACE (Major adverse cardiac events)
If a patient is currently taking a B-blocker, _______ perioperatively
continue
Awareness under anesthesia estimated 0.15-1%, associated with _____, ______ and ______ anesthesia
OB
Cardiac
Trauma
Most common injury from anesthesia
dental injury
Consult provider regarding _________ therapy
anticoagulant
Anesthetic risk _______ with age
increases
Males are at a _____ risk than females during anesthesia
increased
Why does risk increase with age?
co-morbities
The key factors in the prevention of patient injury are: (there are 3)
vigilance,
adequate monitoring,
and up-to-date knowledge
What is the P4P concept?
Pay for performance. Patients pay for the quality of care they recieve
_____ takes a systems approach to identifying and improving quality of care
CQI (continuous quality improvement)
~ __,____ patients may die from medical errors in hospitals
98,000
Lack of _____, ______ and _________ lead to medical errors
vigilance, communication, failure to check
The _____ _____ ____ ______ is a nationwide information system that theoretically allows licensing boards and hospitals a means of detecting adverse information about providers.
National Practitioner Data Bank (NPDB)
Risk estimates are presumed to enable _____ and _____ decision making, make appropriate choices
better
shared
Risk estimates may be incorporated into algorithms to guide appropriate choices based on _______ __________
preoperative investigations
