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Outpatient Surgery E-Weekly

Contact Congress Over Drug Shortage Issues

A Kentucky congressman is urging surgical facilities to contact their members of Congress and request that they sign his letter demanding changes to...

N.J. Posts ASC Inspection Reports Online

State and federal inspection reports of New Jersey's ASCs are now available online, giving patients an opportunity to make more informed choices abo...

Are Opioids Necessary?

While it's not always practical, or even possible, to eliminate opioids from your post-op pain management regiment, reducing their use in favor of n...

Archive >  Patient Safety 2009

Fire Risk Assessment: A Score for Patient Safety

We developed a simple tool to measure fire risks in the OR after the unthinkable happened — twice.

Denise Dennison, RN, BSN, CNOR

A surgical fire is something that happens to someone else, right? That's what we thought, too, until the unthinkable happened: 2 major OR fires 8 months apart. The first involved a 51-year-old woman undergoing a carotid endarterectomy. The second involved a 66-year-old man undergoing radiofrequency ablation and a pacemaker insertion. Although the patients and the procedures were vastly different, both cases had several factors in common:

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What we learned; What we did; Fire Risk 1: Low Risk; Fire Risk 2: Low Risk With Potential to Convert to High Risk; Fire Risk 3: High Risk; Education is key; Prevent defense; Anesthesia; Announcing; Assessment Score; Circulating; Convert; ECRI Institute; Electrocautery; Fire; Fire Risk Assessment Score; Fuel; High Risk Follow; High Risk Observe; Ignition; Institute; Level; Low Risk Follow; Low Risk Potential; Potential; Risk; Risk Follow; Risk Observe; Risk Assessment Score; Risk Potential; Score; Silverstein Fire Risk Assessment Score; States; United States; Web-based; ablation; absence; act; ... show all keywords
What we learned; What we did; Fire Risk 1: Low Risk; Fire Risk 2: Low Risk With Potential to Convert to High Risk; Fire Risk 3: High Risk; Education is key; Prevent defense; Anesthesia; Announcing; Assessment Score; Circulating; Convert; ECRI Institute; Electrocautery; Fire; Fire Risk Assessment Score; Fuel; High Risk Follow; High Risk Observe; Ignition; Institute; Level; Low Risk Follow; Low Risk Potential; Potential; Risk; Risk Follow; Risk Observe; Risk Assessment Score; Risk Potential; Score; Silverstein Fire Risk Assessment Score; States; United States; Web-based; ablation; absence; act; action; active; add; administer; admits; adopt; airway; alcohol-based; alternate; anesthesia; annual; appeal; appropriately; assessment; assign; assimilate; avoidable; awareness; basic; beginning; buildup; burr; care; carotid; case; cases; cautery; centralized; chair; challenges; checklist; chose; clinical; close; communication; component; comprehensive; comprised; conducted; consistency; consistent; continuing; control; cost; create; creating; daily; decrease; defibrillators; delivery; department; detailed; determine; determining; devastating; develop; developed; difficult; disfigurement; disruption; dissemination; document; draping; drills; dry; drying; due; education; educational; effective; electrocautery; electrosurgery; elements; emotional; ensure; ensuring; evacuation; event; evident; exist; face; factors; fiberoptic; fire; fire-risk; fire-safety; fires; flow/low; flyers; follow; formulate; foster; found; fraction; fuel; full; full-time; gases; goal; greatly; hair; hands-on; healthcare; hearts; heat; high; high-risk; hospital; identifies; identify; ignited; ignition; immediately; impacts; implementing; importance; improvement; incidence; incision; include; including; increases; information; inspired; involve; key; lap; largest; laser; learn; learned; level; light; likelihood; list; lowest; made; maintains; major; makes; man; manage; mask; member; mind; minimize; minimizing; minute; monitored; months; multidisciplinary; nasal; needed; number; nurses; nursing; occlusive; occur; occurred; occurring; open; operating; opportunities; oral; oxygen; oxygen-enriched; oxygen-rich; pacemaker; participants; patient; patients; performance; performed; performing; perioperative; phase; phrase; physical; physician; plan; planned; point; policies; potential; practice; precautions; prep; prevention; priority; procedural; procedures; program; protocols; provided; providers; quick; radiofrequency; raises; rare; react; received; receiving; reducing; reduction; regrettable; regular; reporting; reports; representatives; required; residents; response; responsibilities; result; risk; room; safety; saline; score; semi-annual; services; signage; simple; site; situations; solution; source; sparks; specific; sponges; staff; staggering; standard; sterile; strategies; strike; supplemental; surgeon; surgical; syringe; task; teachings; team; terror; time; tool; trauma; triangle; true; undergoing; unthinkable; variety; vastly; volatile; wanted; water; well-rehearsed; woman; year

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