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Patient Safety in the Ambulatory Pathway

Patient Safety in the Ambulatory Pathway
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Contents

Patient Safety in the Ambulatory Pathway

Introduction

The recognition of patient safety Safety in the patient pathway

       a. Preoperative

         Outpatient visit - decision to operate

               Surgery not required

               Listing for surgery

               Operation list errors

               Contraindications to surgery

               'Pooling' of patients

       Preoperative assessment

              Selection criteria

              Investigations

      b. Perioperative

        Safety on admission

              Hospital acquired infection

              Fasting guidelines

              Smoking

              Existing medication

              Challenging patients

              Allergies

        The preoperative interview

              The day of surgery

              Consent

              VTE assessment

       Operating theatre safety

               Never events

               The theory of accident causation

               WHO briefing and checklist

               Surgical site infection

               Anaesthetic risk

      c. Postoperative

             Transfer to first stage recovery

             Second stage recovery and safe discharge 

             Safety in the community