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Related Experiment Video

Updated: Jun 28, 2026

Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators

Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators

Published on: March 21, 2018

[Safer operating theatre: easier said than done].

¹Universitair Medisch Centrum Utrecht, Kenniscentrum Patiëntveiligheld, divisie Perioperatieve Zorg en Spoedeisende Hulp, Postbus 85.500, 3508 GA Utrecht. c.j.kalkman@umcutrecht.nl

Nederlands Tijdschrift Voor Geneeskunde

|November 18, 2008

Summary

This summary is machine-generated.

The Netherlands Health Care Inspectorate found significant patient safety issues in Dutch hospitals, including lack of standardization and poor hygiene. Mandated rapid implementation of new safety protocols faces cultural and process challenges.

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Last Updated: Jun 28, 2026

Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators

Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators

Published on: March 21, 2018

Area of Science:

Healthcare Management
Patient Safety
Surgical Processes

Background:

The Netherlands Health Care Inspectorate shifted to a proactive quality of care and patient safety approach.
Two reports examined perioperative processes in Dutch hospitals, identifying critical safety concerns.

Discussion:

Despite motivated staff, issues include lack of standardization, incomplete patient data, poor hygiene, and care transfer gaps.
These problems span preoperative and intraoperative surgical stages.

Key Insights:

The Inspectorate mandates rapid implementation of safety measures: checklists, 'time-outs', drug double-checking, improved hygiene, and defined roles.
Addressing these requires substantial changes in operating theatre processes and culture.

Outlook:

The mandated changes are unlikely to be fully implemented within the Inspectorate's short timeframe.
Significant cultural and procedural shifts are necessary for sustainable patient safety improvements in Dutch hospitals.