Safer surgery for all.

Making carotid surgery safer.

Carotid surgery has been shown to be beneficial in level one randomised trials. However, evidence suggests that current outcomes do not match those published in 1991. In order to make carotid endarterectomy safer in the future, it is essential to optimise patient selection and risk factor management and to maintain an obsessional approach to surgical technique. A planned strategy of monitoring ...

Safer cardiac surgery.

Safety in cardiac surgery should be evaluated in the context of the other elements of quality in healthcare (timeliness, effectiveness, efficiency, equity, and most importantly, patient-centeredness). Mortality alone is not an adequate index of safety: Stroke is particularly feared by patients and prolonged periods of hospitalization can be very difficult for families to cope with. Advances in ...

Safer primary care for all: a global imperative.

Safe surgery for all☆

he surgical act involves risks and responsibilities for the atient, the surgeon and the hospital at different degrees of ntensity. An interesting practice known as “time out”, forming part f the Safe Surgery project, has been disseminated among ospitals. The idea is to check all the possibilities for failure that ight occur during the surgical procedure and failures due to istakes at different ...

Enhanced trabeculectomy: the Moorfields Safer Surgery System.

Trabeculectomy with anti-fibrotic treatment is still the most popular incisional procedure for glaucoma filtration surgery (GFS) worldwide. The advent of anti-fibrotic agents reduced failure due to scarring but resulted in increased complications. Advances in trabeculectomy surgery have been driven by the need to minimise the risk of: (1) complications and (2) surgical failure. This chapter cov...