Over the past 15 years, the multidisciplinary team management of many medical conditions especially cancers has increasingly taken a prominent role in patient management in many hospitals and medical centres in the developed countries. In the United Kingdom, it began to gain prominence following the Calman-Heine report in 1995 which suggested that each Cancer Unit in a hospital should have in p...

The new Perfusion Simulation Center at the Medical University of South Carolina provides a new level of high fidelity simulation training for perfusion students. A key component is the Orpheus Perfusion Simulator which is a computer-driven simulator integrated with the mechanical connections of the heart-lung machine to allow for real time operative procedures and perfusion incidents. Due to th...

BACKGROUND The laparoscopic approach for colorectal pathologies is becoming more widely used, and surgeons have had to learn how to perform this new technique. The purpose of this work is to study the indicators of the learning curve for laparoscopic colectomy in a community hospital and to find when the group begins to improve. METHODOLOGY From January 1 2005 to December 31 2012, 313 consecu...

Objective: To determine whether an association existed between the Veterans Health Administration (VHA) medical team training and surgical outcomes. Study design: Retrospective cohort study. Setting: 108 VHA hospitals (74 with and 34 without team training). Intervention: Medical team training consisted of a 1-day session with nurses, surgeons and anesthesiologists in attendance, followed by 4 q...

BACKGROUND Trauma resuscitations are high-pressure, time-critical events during which health care providers form ad hoc teams to rapidly assess and treat injured patients. Trauma team members experience varying levels of workload during resuscitations resulting from the objective demands of their role-specific tasks, the circumstances surrounding the event, and their individual previous experie...

PURPOSE To review the initial results of implementing an extended surgical time-out (STO) in pediatric surgery. METHODS Starting in January 2006, all members of our surgical team implemented and used an extended STO, confirming the patient's identity, technical and anesthetic details, administered and available medications, and need for blood products and special equipment. To avoid disruptin...