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Related Experiment Video

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Crisis Containment: Tools for Harm Mitigation in Surgery.

Petrut Gogalniceanu1, Nicos Kessaris1, Nikolaos Karydis1

  • 1Transplant Surgery Unit, Guy's Hospital, Guy's and St. Thomas' NHS Foundation Trust.

Journal of the American College of Surgeons
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Summary
This summary is machine-generated.

This study adapted aviation safety strategies for healthcare crisis containment. Key findings include managing operator startle response, using prioritization tools, and employing drills to mitigate harm and improve patient safety.

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Area of Science:

  • Patient Safety
  • Healthcare Management
  • Aviation Safety

Background:

  • Surgical crises present opportunities for patient safety improvements.
  • Harm containment strategies are not well-defined beyond surgical damage control principles.

Purpose of the Study:

  • To identify and adapt crisis containment strategies from commercial aviation for healthcare settings.
  • To develop a framework for effective harm mitigation during clinical crises.

Main Methods:

  • A multimethods qualitative study involving observational fieldwork with airlines, interviews with pilots, and focus groups with healthcare and aviation experts.
  • Thematic analysis and expert consensus were used to derive a crisis containment framework.

Main Results:

  • Identified the impact of startling events on operator performance and the utility of prioritization tools (Aviate, Navigate and Communicate).
  • Developed a crisis containment algorithm with three strategies: managing startle response (STOP tool), prioritizing core functions (Perfuse, Move and Communicate tool), and using drills (Memory Actions).

Conclusions:

  • Crisis containment is achievable through managing startle response, applying prioritization tools, and using targeted drills.
  • The proposed model has potential applications in various healthcare domains beyond surgery, enhancing patient safety.