Page 5 - 2022 Risk Basics - Surgical Practice
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Table of Contents
Introduction .................................................................................................................... 7
Data Review ........................................................................................................................... 7
Communication ............................................................................................................ 8
Communicating with Patients and Families ..................................................... 9
Informed Consent ............................................................................................................ 10
Documenting the “Process” ...................................................................................... 20
Informed Refusal .............................................................................................................. 23
Communicating with Staff .......................................................................................... 25
Communicating with Other Providers ................................................................ 27
Communicating the Handoff .................................................................................... 28
Documentation ........................................................................................................... 31
Electronic Health Records ......................................................................................... 33
Systems ......................................................................................................................... 34
Surgeons’ Duty to Review Pre-op Tests ...................................................... 36
Tracking ......................................................................................................................... 36
Tracking Systems .............................................................................................................. 41
Patient Notification ......................................................................................................... 46
Telephone Procedures........................................................................................... 50
After-Hours Calls .............................................................................................................. 56
Limiting Distractions ............................................................................................... 57
Wrong Site & Timeouts ......................................................................................... 58
Postoperative ............................................................................................................... 61
Infection Control ................................................................................................................61
Discharge Instructions .................................................................................................. 62
Medications ................................................................................................................. 64
Conclusion .................................................................................................................... 67
