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Session Details

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​October 26, 2017, 2:00 PM ET: A New Emergency Checklist for Office-Based Surgery

  • Fred E. Shapiro, DO, Chair, ASA Committee on Patient Safety and Education; Founder, Institute for Safety in Office-Based Surgery
  • Alexander Hannenberg, MD, Faculty, Safe Surgery Program, Ariadne Labs; Chief Quality Officer, American Society of Anesthesiologists
  • Jennifer Lenoci-Edwards, RN, MPH, Executive Director, Patient Safety, Institute for Healthcare Improvement

These days, no one thinks twice about getting a mole removed or undergoing cataract surgery outside of a hospital. Heading to an office practice or an ambulatory care center for what's considered "minor surgery" tends to be more convenient for the patient and often more cost effective. According to recent figures, upwards of 20 million outpatient procedures are performed in the US each year — everything from cosmetic to knee to eye surgeries. As the numbers rise, so do concerns about safety.

While serious harm, including deaths, remains uncommon in outpatient settings, adverse events can and do occur. When anesthesia is part of the surgical procedure, clinicians and staff need to know about the complications that might arise requiring immediate, lifesaving steps.

What are the complications? What are the specific steps? It's all laid out in a new checklist that we're going to discuss on the October 26 WIHI: A New Emergency Checklist for Office-Based Surgery.

The ISOBS Safety Checklist for Office-Based Anes​thesia Crise​s​ is the work of four anesthesiologists, two of whom join us as WIHI guests. Dr. Fred Shapiro is founder of the Institute for Safety in Office-Based Surgery,​ and Dr. Alexander Hannenberg works with Ariadne Labs​, which pioneered the development of surgical checklists.

The ISOBS checklist, to be unveiled this month, is designed to help office-based clinical teams "do the right thing" should any of 26 critical events arise during office surgery, including cardiac arrest, a blocked airway, and hemorrhage. The checklist also provides guidance on what to do in the event of a fire, loss of power, or loss of oxygen.

Is this a level of preparedness for outpatient surgery whose time has come? Can the information be useful to any outpatient practice, even ones that don't perform surgeries or administer anesthesia? Jennifer Lenoci-Edwards, IHI Executive Director for Patient Safety, will offer her perspective on these questions and more. We hope you'll join us to contribute your perspective, too, and to learn about this important new patient safety resource. AND, we encourage you to review the new checklist​ in preparation for the October 26 show.

Please click here to create a calendar invite for the 2 PM ET broadcast.