| A cross-case comparison of hypothermia prevention methods and continuous improvement culture between aesthetic plastic surgery sites. | |
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MedLine Citation:
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PMID: 21239679 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The Patient Safety Committee of The American Society for Aesthetic Plastic Surgery (ASAPS) has initiated a new patient safety training program. The pilot module of this program will focus on hypothermia prevention, with the goal of decreasing the negative effects of hypothermia for surgery patients. Previous literature has shown that hypothermia can result in a higher incidence of surgical wound infections and longer postanesthesia recovery times, among other adverse effects. Therefore, educating medical personnel on patient safety techniques like hypothermia prevention is important for achieving positive patient outcomes. However, organizational research indicates that implementing and sustaining improvements system-wide requires a "continuous improvement culture." Earlier research has identified concepts such as double-loop learning, problem-solving, error management, and organizational routines as key elements of a continuous improvement culture. Antecedent to the ASAPS training program, a case study analysis of three surgery practices was performed to better understand the relationship between organizational structure, hypothermia domain knowledge, and continuous improvement culture characteristics. The data analysis indicates a positive correlation between hypothermia prevention and elements of a continuous improvement culture. These findings suggest that a patient safety training program, which includes learning objectives directed at improving organizational culture in addition to specific research-based preventative techniques, is more likely to achieve sustained improvements in patient outcomes than training focused on preventative techniques alone. |
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Authors:
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Elizabeth S Adams; Durward K Sobek; Felmont Eaves |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Aesthetic surgery journal / the American Society for Aesthetic Plastic surgery Volume: 31 ISSN: 1527-330X ISO Abbreviation: Aesthet Surg J Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2011-01-17 Completed Date: 2011-04-28 Revised Date: 2011-09-12 |
Medline Journal Info:
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Nlm Unique ID: 9707469 Medline TA: Aesthet Surg J Country: United States |
Other Details:
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Languages: eng Pagination: 122-34 Citation Subset: IM |
Affiliation:
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Mechanical and Industrial Engineering Department, Montana State University, Bozeman, MT, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anesthesia Recovery Period Data Collection Humans Hypothermia / etiology, prevention & control* Organizational Culture Pilot Projects Reconstructive Surgical Procedures / methods, standards Societies, Medical Surgery, Plastic / organization & administration* Surgical Wound Infection / prevention & control Total Quality Management / methods* United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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