Page 24 - Part 2 Anesthesiology Common Risk Issues

SVMIC Anesthesiology: Common Risk Issues

multimillion dollar verdicts, possibly including punitive damages,

against an allegedly distracted anesthesia provider involved
in a significant adverse outcome. Allegations and evidence

of distractions in the OR have resulted in additional negative
consequences including, but not limited to:

• Suspension and non-renewal of privileges at practice
facilities

• State medical licensing board investigations and sanctions

• Significant negative media coverage

• Public relations challenges for the individual

anesthesiologist and practice group

• Loss of employment

• National Practitioner Data Bank Reporting

What can be done to reduce distractions in the OR? Implement
the following:

• Review and comply with practice facilities’ PED guidelines
and/or policies

• Implement a “sterile cockpit” or “no interruption zone”
9
10
protocol during critical phases of procedures

• Eliminate all discretionary sources of noise during “sterile”

periods

• Avoid loud or distracting music

9 The sterile cockpit concept is derived from aviation law that prohibits crewmembers from engaging
in any activity except those duties required for the safe operation of the aircraft during critical phases
of flight, including taxi, takeoff, landing and all other flight operations conducted below 10,000 feet.
“Sterile” periods in healthcare include, but are not limited to: induction and emergence of anesthesia,
critical events during the anesthetic and/or surgery and unanticipated events requiring additional OR
team communication.
10 https://www.apsf.org/article/distractions-in-the-operating-room-an-anesthesia-professionals-
liability/

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