Title: Error traps and culture of safety and in pediatric thoracoscopy
1. Semin Pediatr Surg. 2019 Jun;28(3):178-182. doi: 10.1053/j.sempedsurg.2019.04.021. Epub 2019 Apr 25.
Culture of safety and error traps in pediatric thoracoscopy.
Lai SW(1), Rothenberg SS(2).
Author information: (1)Rocky Mountain Pediatric Surgery, Rocky Mountain Hospital for Children, 2055 High Street, Suite 370, Denver, CO 80205, USA. Electronic address: sarah.lai@healthonecares.com. (2)Rocky Mountain Pediatric Surgery, Rocky Mountain Hospital for Children, 2055 High Street, Suite 370, Denver, CO 80205, USA. Electronic address: steven.rothenberg@hcahealthcare.com.
Growing adoption of thoracoscopy by pediatric surgeons has resulted in increasingly complex operations being performed. Although common complications of these procedures have decreased with experience, surgeons are still at risk to fall into error traps where routine practice in uncommon situations results in unanticipated complications. A background culture of safety that rewards multidisciplinary communication, teamwork, openness and standardization of care can assist surgeons to recognize, address and report error traps when they arise. This article serves to encourage a culture of safety and raise awareness of error traps in pediatric thoracoscopy to minimize potential harm and improve quality of care.
Copyright © 2019 Elsevier Inc. All rights reserved.
DOI: 10.1053/j.sempedsurg.2019.04.021 PMID: 31171154 [Indexed for MEDLINE]