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Emergency Undocking in Robotic Surgery: A Simulation Curriculum

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Using checklists to improve care in the nonoperating room environment.

Jessica Anne Latzman¹, Jim G Castellanos, Diana Anca

¹Department of Anesthesiology, Weill Cornell Medicine, New York, New York, USA.

Current Opinion in Anaesthesiology

|July 5, 2022

Summary

Checklists are essential for improving patient and staff safety during anesthesia in nonoperating room settings. Implementing protocols and site-specific checklists enhances care in these increasingly common procedures.

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Area of Science:

Anesthesiology
Patient Safety
Healthcare Management

Background:

Anesthesia in nonoperating room (NOR) settings is increasing.
NOR anesthesia presents unique challenges, leading to higher morbidity and mortality.
Critical patients and emergency procedures contribute to NOR risks.

Purpose of the Study:

To highlight the growing importance of anesthesia in nonoperating room environments.
To emphasize the need for enhanced safety measures in NOR settings.
To identify strategies for improving care and safety in NOR anesthesia.

Main Methods:

Analysis of closed claims data to identify risks in NOR anesthesia.
Review of current practices and challenges in NOR anesthesia.
Evaluation of safety protocols and checklists for NOR procedures.

Main Results:

NOR anesthesia is associated with increased morbidity and mortality.
Location-specific challenges and patient acuity are key risk factors.
Protocols and checklists are effective strategies for improving NOR anesthesia safety.

Conclusions:

Anesthesia in nonoperating room locations represents a growing proportion of all anesthetic cases.
Establishing protocols and implementing site-specific checklists is crucial for improving care and safety in NOR environments.