Avoiding Fire in the Operating Suite: An Intersection of Prevention and Common Sense

M. Saeed, M. Swaroop, Franz S. Yanagawa, A. Buono, S. Stawicki
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引用次数: 1

Abstract

The operating room (OR) is a complex environment that involves large teams and multiple competing priorities, dynamically interacting throughout the entire course of a surgical procedure. The simultaneous presence of flammable substances, volatile gases, and the frequent use of electrical current results in a potentially dangerous combination. Operating room fire (ORF) is a rare but potentially devastating occurrence. To prevent this “never event”, it is critical for institutions to establish and follow proper fire safety protocols. Adherence to proven prevention strategies and awareness of associated risk factors will help reduce the incidence of this dreaded safety event. When ORF does occur despite strict adherence to established safety protocols, the entire OR team should know the steps required to contain and extinguish the fire as well as essential measures to minimize or avoid thermal injury. If injury does occur, it is important to recognize and treat it promptly. Appropriate and honest disclosure to all injured persons and their families should be made without delay. As with all serious patient safety events, regulatory reporting and root cause determinations must take place in accordance with applicable laws and regulations. The goal of patient safety champions at each institution should be the attainment of zero incidence of ORF.
在手术室避免火灾:预防和常识的交集
手术室(OR)是一个复杂的环境,涉及大型团队和多个竞争的优先事项,在整个手术过程中动态互动。同时存在易燃物质、挥发性气体和频繁使用电流会导致潜在的危险组合。手术室火灾(ORF)是一种罕见但具有潜在破坏性的事件。为了防止这种“永不发生的事件”,各机构建立并遵守适当的消防安全协议至关重要。坚持有效的预防策略和对相关风险因素的认识将有助于减少这一可怕安全事件的发生。当ORF确实发生时,尽管严格遵守了既定的安全协议,整个手术室团队应该知道控制和扑灭火灾所需的步骤,以及尽量减少或避免热伤害的基本措施。如果确实发生了损伤,及时识别和治疗是很重要的。应毫不拖延地向所有伤者及其家属适当和诚实地披露情况。与所有严重的患者安全事件一样,必须根据适用的法律法规进行监管报告和根本原因确定。每个机构的患者安全倡导者的目标应该是实现ORF的零发生率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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