AI Article Synopsis
- Intraoperative surgical outcomes are affected by a mix of factors including the environment, providers, and institutions, yet there's little guidance on improving urological care.
- A panel of experts reviewed the literature and created a white paper to highlight interventions aimed at enhancing team dynamics and safety during surgery.
- Key recommendations include fostering a safety culture, improving teamwork, managing conflict, and minimizing distractions to improve surgical performance and patient outcomes.
Article Abstract
Introduction: Intraoperative surgical outcomes are influenced by a wide variety of environmental, provider and institutional factors. There is little in the current literature that provides guidance for practitioners interested in adapting these factors to improve the quality of the urological care they provide.
Methods: A multidisciplinary panel of subject matter experts (urologists, nurses, anesthesiologists) was convened to evaluate the existing literature, create a white paper, and disseminate this to providers and institutions to fuel quality improvement efforts in urological surgery. Focusing on intraoperative environmental, behavioral and performance factors, a narrative review was performed, highlighting practical interventions when available.
Results: Intraoperative performance is optimized by encouraging a culture of safety, improving intraoperative teamwork, thoughtfully navigating conflict and disruptive behavior, improving surgeon ergonomics, minimizing noise/distractions and engaging in ongoing technical performance improvement. In addition, practical tools are provided to assist in the challenging task of quality improvement in the surgical context.
Conclusions: We summarize the influence of organizational culture, environment and behavior on surgical performance and outcomes. This work is intended to support local quality improvement efforts by educating the urological community regarding less well-known environmental, behavioral and institutional factors that influence surgical performance and patient outcomes.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/UPJ.0000000000000138 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
The development and validation of a Japanese hazard perception task.
Traffic Inj Prev
January 2025
Soen Driving School, Hokkaido, Japan.
Objectives: This study aimed to validate the hazard perception task developed for Japanese drivers with brain damage.
Methods: A total of 36 professional driving instructors, 67 older adult drivers, 39 young drivers, and 72 patients with brain damage participated in the study. A video-based hazard perception task measured the hazard perception skills of each group.
Prosocial behavior interventions implemented among undergraduate student populations: a scoping review.
J Am Coll Health
January 2025
Department of Psychology, Wilfrid Laurier University, Waterloo, Ontario, Canada.
Introduction: Undergraduate students face a multitude of unique stressors which can affect their mental health and well-being. Finding ways to promote positive mental health among students is critical. Engagement in prosocial behavior is one way to buffer against such negative mental health outcomes.
View Article and Find Full Text PDFDirect Assembly of Grooved Micro/Nanofibrous Aerogel for High-Performance Thermal Insulation via Electrospinning.
ACS Appl Mater Interfaces
January 2025
CAS Key Laboratory of Green Process and Engineering, Institute of Process Engineering, Chinese Academy of Sciences, Beijing 100190, China.
Maintaining human body temperature in both high and low-temperature environments is fundamental to human survival, necessitating high-performance thermal insulation materials to prevent heat exchange with the external environment. Currently, most fibrous thermal insulation materials are characterized by large weight, suboptimal thermal insulation, and inferior mechanical and waterproof performance, thereby limiting their effectiveness in providing thermal protection for the human body. In this study, lightweight, waterproof, mechanically robust, and thermal insulating polyamide-imide (PAI) grooved micro/nanofibrous aerogels were efficiently and directly assembled by electrospinning.
View Article and Find Full Text PDFLactating women and the perception of useful value for breastfeeding in a prison environment.
Cien Saude Colet
January 2025
Escola de Enfermagem Aurora Afonso Costa, Universidade Federal Fluminense. R. Dr. Celestino 74, Centro. 24020-091 Niterói RJ Brasil.
The aim is to unveil the useful value of breastfeeding for lactating women in a prison environment, based on Max Scheler's axiological perspective. This work was a qualitative, developed in a prison unit in Rio de Janeiro, where seven lactating women were interviewed. The phenomenological interview was used for data collection, while Laurence Bardin's content analysis was used for data analysis and treatment.
View Article and Find Full Text PDFTree age affects key fine root morphological traits but does not interfere strongly with (ecto-)mycorrhizal traits.
Ann Bot
January 2025
Theoretical and Experimental Ecology Station, CNRS, Moulis, France.
Background And Aims: It is assumed that trees should adapt their above and belowground organs as they age. However, most studies to date have quantified these trait adjustments in homogeneous forest stands, confounding the effect of stand aging on soil properties and the intrinsic response of trees to aging.
Methods: Here, we examined 11 morphological, architectural, anatomical and mycorrhizal fine root traits of each of the first five orders for 66 Pinus koraiensis individuals of 16 to 285 years old in northeast China, while accounting for soil characteristics (pH and total C, N and P concentrations).
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!