Page 63 - 2022 Risk Basics - Anesthesiology

SVMIC Risk Basics: Anesthesiology

 Put strictly objective narrative entries in the medical

record and incident report (but these can include
background details on the involved thinking, such as,

for example, the indication for invasive monitoring

based on symptoms and signs of congestive heart
failure).

 Contact an SVMIC claims attorney before making
additional detailed personal notes (including subjective

impressions or value judgments).

9. Try to review formal reports submitted by the institution

to the authorities (state department of health/licensing
body or the National Practitioner Data Bank) both in

order to know what they contain and also add your

observations or commentary if indicated.

10. Continue involvement after the event when the patient
survives:

 Talk to surgeons and consultants about care; make
suggestions as indicated.

 Be visible, supportive, and not defensive with all

involved.

 Communicate as much as possible (see number six).

Emphasis in current literature is shifting toward Crisis

Resource Management principles, frequent drills or simulation

of emergency situations, and use of cognitive aids. One

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