Structured Team Self-Report of Intraoperative Error Can Identify Obstacles to Safe Surgery

摘要

Bandari and colleagues used briefing and debriefing methods in a novel method to surface safety hazards in the operating room (OR). Although there is a plethora of evidence supporting structured briefing and debriefing tools to improve OR team performance and patient outcomes, we agree that briefing and debriefing sessions present valuable opportunities for teams to highlight safety hazards, which can then be targeted for improvement. This is in line with the Institute of Medicine's seminal report To Err Is Human, which advocates the development of "mini-systems" of reporting to target specific clinical areas.