This video provides a summary of common error traps in care of patients with anorectal malformations, provided by Dr. Andrea Bischoff, lead author of this Seminars in Pediatric Surgery article.
Find the full article at: https://www.sciencedirect.com/science/article/abs/pii/S1055858619300526.
Contributing editors: Rachel (Rae) Hanke, MD and Zach Korb at Cincinnati Children's Hospital
Type: video · 2 min · posted 2019-09-19 Canonical: https://library.globalcastmd.com/watch/error-traps-and-culture-of-safety-in-anorectal-malformations-1683 ## Chapters - [0:00](https://library.globalcastmd.com/watch/error-traps-and-culture-of-safety-in-anorectal-malformations-1683?t=0) Introduction to Safety Series - [0:31](https://library.globalcastmd.com/watch/error-traps-and-culture-of-safety-in-anorectal-malformations-1683?t=31) Five Error Traps in Anorectal Malformations ## Statements - "Five error traps have been identified in the management of anorectal malformations" — Andrea Bischoff (clinical) [0:31](https://library.globalcastmd.com/watch/error-traps-and-culture-of-safety-in-anorectal-malformations-1683?t=31) - "The first error trap is creation of a colostomy too distal in the sigmoid colon" — Andrea Bischoff (clinical) [0:34](https://library.globalcastmd.com/watch/error-traps-and-culture-of-safety-in-anorectal-malformations-1683?t=34) - "The recommendation is for a colostomy at the descending colon" — Andrea Bischoff (guideline) [0:40](https://library.globalcastmd.com/watch/error-traps-and-culture-of-safety-in-anorectal-malformations-1683?t=40) - "The second error trap is having an inaccurate distal colostogram" — Andrea Bischoff (clinical) [0:45](https://library.globalcastmd.com/watch/error-traps-and-culture-of-safety-in-anorectal-malformations-1683?t=45) - "A correctly done distal colostogram should show the site of the mucous fistula" — Andrea Bischoff (guideline) [0:51](https://library.globalcastmd.com/watch/error-traps-and-culture-of-safety-in-anorectal-malformations-1683?t=51) - "A correctly done distal colostogram should show the amount of bowel length available for the pull-through" — Andrea Bischoff (guideline) [0:51](https://library.globalcastmd.com/watch/error-traps-and-culture-of-safety-in-anorectal-malformations-1683?t=51) - "A correctly done distal colostogram should show the end of the rectum or the connection to the urinary tract" — Andrea Bischoff (guideline) [0:51](https://library.globalcastmd.com/watch/error-traps-and-culture-of-safety-in-anorectal-malformations-1683?t=51) - "A correctly done distal colostogram should show, whenever possible, the bladder and the urethra" — Andrea Bischoff (guideline) [1:07](https://library.globalcastmd.com/watch/error-traps-and-culture-of-safety-in-anorectal-malformations-1683?t=67) - "A correctly done distal colostogram should show the tip of the sacrum and the anal marker" — Andrea Bischoff (guideline) [1:07](https://library.globalcastmd.com/watch/error-traps-and-culture-of-safety-in-anorectal-malformations-1683?t=67) - "The third error trap is operating on a male patient without a Foley catheter" — Andrea Bischoff (clinical) [1:16](https://library.globalcastmd.com/watch/error-traps-and-culture-of-safety-in-anorectal-malformations-1683?t=76) - "The third error trap includes ignoring the hazards of the separation between the anterior rectal wall and the genitourinary tract" — Andrea Bischoff (clinical) [1:16](https://library.globalcastmd.com/watch/error-traps-and-culture-of-safety-in-anorectal-malformations-1683?t=76) - "The fourth error trap is attempting to dilate a true rectal stricture" — Andrea Bischoff (clinical) [1:32](https://library.globalcastmd.com/watch/error-traps-and-culture-of-safety-in-anorectal-malformations-1683?t=92) - "Anal dilations are not for real strictures" — Andrea Bischoff (guideline) [1:39](https://library.globalcastmd.com/watch/error-traps-and-culture-of-safety-in-anorectal-malformations-1683?t=99) - "The fifth error trap is not offering long-term follow-up to these patients" — Andrea Bischoff (clinical) [1:39](https://library.globalcastmd.com/watch/error-traps-and-culture-of-safety-in-anorectal-malformations-1683?t=99) - "Patients with anorectal malformations need long-term follow-up in colorectal, urology, and gynecology" — Andrea Bischoff (guideline) [1:49](https://library.globalcastmd.com/watch/error-traps-and-culture-of-safety-in-anorectal-malformations-1683?t=109) - "By avoiding these common error traps, patients will receive better care" — Andrea Bischoff (opinion) [1:56](https://library.globalcastmd.com/watch/error-traps-and-culture-of-safety-in-anorectal-malformations-1683?t=116) ## Transcript The June issue of seminars on pediatric surgery focused on a topic that's important to every pediatric surgeon, improving the healthcare we deliver to children around the world. Follow along with our latest video series as we highlight articles that help enhance the culture of safety in various pediatric surgical subspecialties. And you might recognize a few well-known faces and names along the way. Here's a quick summary of error traps and culture of safety in anorectal malformations with guest video reviewer Dr. Andrea Bischoff. We have identified 5 error traps. The first one is the creation of a colostomy 2 distal in the sigmoid column. Our recommendation is for a colostomy at the descending column. The second error trap is having an inaccurate distal colostogram. A correctly done distalcholostogram should show the site of the mucous fistula, the amount of bowel length available for the poo through, the end of the rectum, or the connection to the urinary tract. Whenever possible, the bladder and the urethra, the tip of the sacrum and the anal marker. The 3rd error tract is operating on a male patient without a Foley catheter and ignoring the hazards of the separation between the anterior rectal wall and the genitourinary tract. The 4th error tract is attempting to dilate a true rectal stricture. Anal dilations are not for real strictures, and the 5th error trap is not offering long-term follow-up to these patients. Those patients need long-term follow-up in colorectal, urology, and gynecology. We believe that by avoiding these common error traps, patients will receive better care. --- Not medical advice · citation policy: https://library.globalcastmd.com/ai