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Chen M, Fargen KM, Mocco J, Siddiqui AH, Miyachi S, Mahadevan J, Na Ayudya SS, Churojana A, Chryssidis S, De Villiers L, Rahman M, Dey SK, Zhang H, Wang D, Petrocelli S, Garbugino S, Kulcsar Z, Januel A, Kocer N, Manfre L, Tanaka M, Matsumaru Y, Suh SH, Yoon W, de Freitas C, Mont'Alverne F, Desal H, Caroff J, Lee W, Anil G, Harrichandparsad R, LeFeuvre D, Agid R, Orbach DB, Taylor A. World Federation of Interventional and Therapeutic Neuroradiology (WFITN) Federation Assembly neurointerventional surgery safety checklist. J Neurointerv Surg 2023:jnis-2023-020309. [PMID: 37147004 DOI: 10.1136/jnis-2023-020309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2023] [Accepted: 03/14/2023] [Indexed: 05/07/2023]
Affiliation(s)
- Michael Chen
- Neurological Sciences, Rush University Medical Center, Chicago, Illinois, USA
| | - Kyle M Fargen
- Neurological Surgery and Radiology, Wake Forest University, Winston-Salem, North Carolina, USA
| | - J Mocco
- The Mount Sinai Health System, New York, New York, USA
| | - Adnan H Siddiqui
- Neurosurgery and Radiology and Canon Stroke and Vascular Research Center, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA
- Neurosurgery, Gates Vascular Institute, Buffalo, New York, USA
| | - Shigeru Miyachi
- Department of Neurosurgery, Aichi Medical University, Nagakute, Japan
| | | | | | | | - Steve Chryssidis
- Flinders Medical Centre, Bedford Park, South Australia, Australia
| | - Laetitia De Villiers
- Interventional Neuroradiology, Gold Coast University Hospital, Gold Coast, Queensland, Australia
| | - Mohibur Rahman
- National Institute of Neurosciences & Hospital, Sher-E-Bangla Nagar, Bangladesh
| | | | - Hongqi Zhang
- Neurosurgery, Xuanwu Hospital, Beijing, Beijing, China
| | - Donghai Wang
- Qilu Hospital of Shandong University, Jinan, Shandong, China
| | - Sergio Petrocelli
- Interventional Neuroradiology, Sanatorio Parque, Rosario- Santa Fe, Argentina
| | - Silvia Garbugino
- Neurosurgery, Hospital de Clinicas Jose de San Martin, Buenos Aires, Argentina
| | - Zsolt Kulcsar
- Neuroradiology, Zurich University Hospital, Zurich, Switzerland
| | - Anne Januel
- University Hospital Centre Toulouse, Toulouse, Occitanie, France
| | - Naci Kocer
- Department of Radiology, Cerrahpasa Medical School, Istanbul, Turkey
| | - Luigi Manfre
- Department of Radiology, IOM Mediterranean Oncology Institute, Viagrande, Italy
| | | | - Yuji Matsumaru
- Division of Stroke Prevention and Treatment, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan
| | - Sang Hyun Suh
- Radiology, Gangnam Severance Hospital Yonsei University, Seoul, Korea (the Republic of)
| | - Woong Yoon
- Radiology, Chonnam National University Hospital, Gwangju, Korea (the Republic of)
| | - Carlos de Freitas
- Sao Paulo State University Julio de Mesquita Filho - Rosana Campus, Rosana, Brazil
| | | | - Hubert Desal
- Neuroradiology, University Hospital of Nantes, Nantes, France
| | - Jildaz Caroff
- Department of Interventional Neuroradiology - NEURI Brain Vascular Center, Bicêtre Hospital, APHP, Le Kremlin Bicêtre, France
| | - Wickly Lee
- National Neuroscience Institute, Singapore
| | - Gopinathan Anil
- Department of Diagnostic Imaging, National University Health System, National University Hospital, Singapore
- Interventional Neuroradiology, Leeds Teaching Hospitals NHS Trust, Leeds, UK
| | - Rohen Harrichandparsad
- Neurosurgery, University of KwaZulu-Natal College of Health Sciences, Durban, South Africa
| | | | - Ronit Agid
- Medical Imaging, Toronto Western Hospital, Toronto, Ontario, Canada
| | - Darren B Orbach
- Neurointerventional Radiology, Boston Children's Hospital, Boston, Massachusetts, USA
| | - Allan Taylor
- Neurosurgery, University of Cape Town, Cape Town, South Africa
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Weiss D, Wilms LM, Ivan VL, Vach M, Loberg C, Ziayee F, Kirchner J, Schimmöller L, Antoch G, Minko P. Complication Management and Prevention in Vascular and non-vascular Interventions. ROFO-FORTSCHR RONTG 2022; 194:1140-1146. [PMID: 35977554 DOI: 10.1055/a-1829-6055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
Abstract
PURPOSE This overview summarizes key points of complication management in vascular and non-vascular interventions, particularly focusing on complication prevention and practiced safety culture. Flowcharts for intervention planning and implementation are outlined, and recording systems and conferences are explained in the context of failure analysis. In addition, troubleshooting by interventionalists on patient cases is presented. MATERIAL AND METHODS The patient cases presented are derived from our institute. Literature was researched on PubMed. RESULTS Checklists, structured intervention planning, standard operating procedures, and opportunities for error and complication discussion are important elements of complication management and essential for a practiced safety culture. CONCLUSION A systematic troubleshooting and a practiced safety culture contribute significantly to patient safety. Primarily, a rational and thorough error analysis is important for quality improvement. KEY POINTS · Establishing a safety culture is essential for high-quality interventions with few complications.. · A rational and careful troubleshooting is essential to increase quality of interventions.. · Checklists and SOPs can structure and optimize the procedure of interventions.. CITATION FORMAT · Weiss D, Wilms LM, Ivan VL et al. Complication Management and Prevention in Vascular and non-vascular Interventions. Fortschr Röntgenstr 2022; DOI: 10.1055/a-1829-6055.
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Affiliation(s)
- Daniel Weiss
- Department of Diagnostic and Interventional Radiology, University Düsseldorf, Medical Faculty, Düsseldorf 40225, Germany
| | - Lena Marie Wilms
- Department of Diagnostic and Interventional Radiology, University Düsseldorf, Medical Faculty, Düsseldorf 40225, Germany
| | - Vivien Lorena Ivan
- Department of Diagnostic and Interventional Radiology, University Düsseldorf, Medical Faculty, Düsseldorf 40225, Germany
| | - Marius Vach
- Department of Diagnostic and Interventional Radiology, University Düsseldorf, Medical Faculty, Düsseldorf 40225, Germany
| | - Christina Loberg
- Department of Diagnostic and Interventional Radiology, University Düsseldorf, Medical Faculty, Düsseldorf 40225, Germany
| | - Farid Ziayee
- Department of Diagnostic and Interventional Radiology, University Düsseldorf, Medical Faculty, Düsseldorf 40225, Germany
| | - Julian Kirchner
- Department of Diagnostic and Interventional Radiology, University Düsseldorf, Medical Faculty, Düsseldorf 40225, Germany
| | - Lars Schimmöller
- Department of Diagnostic and Interventional Radiology, University Düsseldorf, Medical Faculty, Düsseldorf 40225, Germany
| | - Gerald Antoch
- Department of Diagnostic and Interventional Radiology, University Düsseldorf, Medical Faculty, Düsseldorf 40225, Germany
| | - Peter Minko
- Department of Diagnostic and Interventional Radiology, University Düsseldorf, Medical Faculty, Düsseldorf 40225, Germany
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Latzman JA, Castellanos JG, Anca D. Using checklists to improve care in the nonoperating room environment. Curr Opin Anaesthesiol 2022; 35:479-484. [PMID: 35787585 DOI: 10.1097/aco.0000000000001154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
PURPOSE OF REVIEW As the number and complexity of cases performed in the nonoperating room environment continue to increase to a higher share of all anesthetic procedures, checklists are needed to ensure staff and patient safety. RECENT FINDINGS Providing anesthesia care in the nonoperating room environment poses specific challenges. Closed claims data base analysis shows a higher morbidity and mortality in this setting. This is driven by the location-related challenges, and critical patients undergoing minimally invasive procedures, as well as a higher percentage of emergency and after-hours procedures. Although adequate case preparation and maintaining the same standard of care as in the main operating room, establishing protocols and checklists for procedures in nonoperating room locations has emerged as a sound strategy in improving care and safety. SUMMARY Anesthesia in the nonoperating room environment is becoming an increasing share of total anesthesia cases. Establishing protocols and implementing site-specific checklists is emerging as a strategy in improving care in the environment of nonoperating room. VIDEO ABSTRACT http://links.lww.com/COAN/A89 .
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