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https://www.readbyqxmd.com/read/27301056/human-error-in-throat-pack-management-report-of-two-cases
#1
Violaine Baranger, Nicolas Bon Mardion, Bertrand Dureuil, Vincent Compère
Throat packs are frequently used after tracheal intubation during ear, nose, and throat surgery. We report 2 cases of complications related to throat packs retained at the end of surgery. Miscommunication between anesthesiology and surgery teams on throat pack management led to an upper gastrointestinal endoscopy examination under general anesthesia in the first case and to severe respiratory distress requiring tracheal reintubation in the second case. Our 2 case reports highlight the importance of good communication between anesthesiology and surgery teams and of standardized procedures and checklists for the management of throat packs to ensure patient safety...
June 15, 2016: A & A Case Reports
https://www.readbyqxmd.com/read/26852762/risk-factors-for-complications-and-mortality-related-to-endoscopic-procedures-in-adults
#2
REVIEW
T Verschoore, S Vandecandelaere, P Vandecandelaere, T Vanderplancke, J Bergs
BACKGROUND AND AIM: The objective of this study is to identify and describe risk factors and complications in endoscopic procedures. METHODS: This review presents the complications and the accompanying risk factors that were described in the selected full-text articles. The relevant full-text articles were found in Pubmed, ISI Web of Science and the CINAHL database. RESULTS: The search resulted in 238 abstracts, 50 of which were finally selected for full-text analysis...
March 2016: Acta Gastro-enterologica Belgica
https://www.readbyqxmd.com/read/25753836/gastrointestinal-endoscopy-competency-assessment-tool-reliability-and-validity-evidence
#3
MULTICENTER STUDY
Catharine M Walsh, Simon C Ling, Nitin Khanna, Samir C Grover, Jeffrey J Yu, Mary Anne Cooper, Elaine Yong, Geoffrey C Nguyen, Gary May, Thomas D Walters, Richard Reznick, Linda Rabeneck, Heather Carnahan
BACKGROUND: Rigorously developed and validated direct observational assessment tools are required to support competency-based colonoscopy training to facilitate skill acquisition, optimize learning, and ensure readiness for unsupervised practice. OBJECTIVE: To examine reliability and validity evidence of the Gastrointestinal Endoscopy Competency Assessment Tool (GiECAT) for colonoscopy for use within the clinical setting. DESIGN: Prospective, observational, multicenter validation study...
2015: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/25626747/a-systematic-review-of-validity-evidence-for-checklists-versus-global-rating-scales-in-simulation-based-assessment
#4
REVIEW
Jonathan S Ilgen, Irene W Y Ma, Rose Hatala, David A Cook
CONTEXT: The relative advantages and disadvantages of checklists and global rating scales (GRSs) have long been debated. To compare the merits of these scale types, we conducted a systematic review of the validity evidence for checklists and GRSs in the context of simulation-based assessment of health professionals. METHODS: We conducted a systematic review of multiple databases including MEDLINE, EMBASE and Scopus to February 2013. We selected studies that used both a GRS and checklist in the simulation-based assessment of health professionals...
February 2015: Medical Education
https://www.readbyqxmd.com/read/25564819/the-gastrointestinal-endoscopy-competency-assessment-tool-for-pediatric-colonoscopy
#5
Catharine M Walsh, Simon C Ling, Petar Mamula, Jenifer R Lightdale, Thomas D Walters, Jeffrey J Yu, Heather Carnahan
OBJECTIVES: Validated assessment tools are required to support competency-based education. We aimed to assess the reliability and validity of the Gastrointestinal Endoscopy Competency Assessment Tool for Pediatric Colonoscopy (GiECATKIDS), an instrument developed by 41 North American experts using Delphi methodology. METHODS: GiECATKIDS consists of a 7-item global rating scale (GRS) and an 18-item checklist (CL). An attending physician assessed 104 colonoscopies performed at 3 North American hospitals by 56 endoscopists, including 25 novices (<50 previous procedures), 21 intermediates (50-250), and 10 advanced endoscopists (>500)...
April 2015: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/25484104/the-effect-of-antireflux-treatment-on-the-frequency-of-awakenings-from-sleep-in-patients-with-gastroesophageal-reflux-disease
#6
L K Jha, C Maradey-Romero, R Gadam, T Hershcovici, O Z Fass, S F Quan, J Guillen, R Fass
BACKGROUND: Up to half of gastroesophageal reflux disease (GERD) patients report having heartburn that awakens them from sleep during the night. Recumbent-awake and conscious awakenings from sleep during the night are commonly associated with acid reflux events. The aim of the study was to assess the effect of esomeprazole 40 mg once daily on nighttime acid reflux, frequency of conscious awakenings associated with acid reflux and the recumbent-awake period. METHODS: Patients with heartburn and/or regurgitation at least three times a week were eligible for this study...
February 2015: Neurogastroenterology and Motility: the Official Journal of the European Gastrointestinal Motility Society
https://www.readbyqxmd.com/read/25474279/-hygiene-in-endoscopy-in-clinic-and-practice-2013-in-comparison-with-2003-structure-and-process-quality
#7
MULTICENTER STUDY
E Jager, A Hausemann, H Hofmann, U Otto, U Heudorf
BACKGROUND: Endoscopy is an important part of modern medical diagnostics and therapy. The invasive procedures are however associated with a risk to transmit infections. Against this background the KRINKO has published the "Hygienic requirements for the reprocessing of flexible endoscopes and endoscopic accessories" in 2002 and has updated these recommendations in 2012. In 2003 and 2013 all gastroenterological facilities in Frankfurt am Main using flexible endoscopes were monitored for compliance with the recommendations...
December 2014: Zeitschrift Für Gastroenterologie
https://www.readbyqxmd.com/read/25307735/point-of-technique-reducing-wrong-side-errors-for-endourology-procedures
#8
Adam Alleemudder, Phil King, Sampi Mehta
OBJECTIVE: To describe a simple novel technique for reducing the likelihood of wrong-side surgery in endourology. METHOD: A radiopaque adhesive SKINTACT ECG electrode is placed in the corresponding groin on the side of the intended procedure and provides a visual aid to the surgeon on the fluoroscopy image to ensure the correct side is being performed. RESULTS: The electrode is placed in the groin at the end of the surgical checklist in view of and in collaboration with the whole surgical team before commencing the procedure...
December 2014: Urology
https://www.readbyqxmd.com/read/25285191/implementation-of-an-endoscopy-safety-checklist
#9
M Matharoo, S Thomas-Gibson, A Haycock, N Sevdalis
Patient safety and quality improvement are increasingly prioritised across all areas of healthcare. Errors in endoscopy are common but often inconsequential and therefore go uncorrected. A series of minor errors, however, may culminate in a significant adverse event. This is unsurprising given the rising volume and complexity of cases coupled with shift working patterns. There is a growing body of evidence to suggest that surgical safety checklists can prevent errors and thus positively impact on patient morbidity and mortality...
October 2014: Frontline Gastroenterology
https://www.readbyqxmd.com/read/24858971/procedural-sedation-and-analgesia-for-gastrointestinal-endoscopy-in-infants-and-children-how-with-what-and-by-whom
#10
REVIEW
Alicja Bartkowska-Śniatkowska, Jowita Rosada-Kurasińska, Marzena Zielińska, Małgorzata Grześkowiak, Agnieszka Bienert, Ian A Jenkins, Iwona Ignyś
Endoscopic procedures involving the gastrointestinal tract have been successfully developed in paediatric practice over the last two decades, improving both diagnosis and treatment in many children's gastrointestinal diseases. In this group of patients, experience and co-operation between paediatricians/endoscopists and paediatric anaesthesiologists should help to guarantee the quality and safety of a procedure and should additionally help to minimise the risk of adverse events which are greater the smaller the child is...
April 2014: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/24762955/management-of-anesthetic-emergencies-and-complications-outside-the-operating-room
#11
REVIEW
Marc Garnier, Francis Bonnet
PURPOSE OF REVIEW: Anesthesia outside the operating room is commonly uncomfortable and risky. In this setting, anesthetic emergencies or complications may occur. This review aims to report the most recent updates regarding the management of prehospital anesthesia, anesthesia in the trauma and emergency rooms, and anesthesia for endoscopy and interventional radiology. RECENT FINDINGS: After tracheal intubation failure, airway control of outpatients could be achieved by pharmacologically assisted laryngeal mask insertion...
August 2014: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/24590220/development-of-the-gastrointestinal-endoscopy-competency-assessment-tool-for-pediatric-colonoscopy-giecat-kids
#12
Catharine M Walsh, Simon C Ling, Thomas D Walters, Petar Mamula, Jenifer R Lightdale, Heather Carnahan
OBJECTIVES: Many aspects of pediatric colonoscopy differ from adult practice. To date, there is no validated measure of endoscopic competence for use in pediatrics. Using Delphi methodology, we aimed to determine expert consensus regarding items required on a checklist and global rating scale designed to assess the competence of clinicians performing colonoscopy on pediatric patients. METHODS: A total of 41 North American pediatric endoscopy experts rated potential checklist and global rating items for their importance as indicators of the competence of trainees learning to perform pediatric colonoscopy...
October 2014: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/24321390/gastrointestinal-endoscopy-competency-assessment-tool-development-of-a-procedure-specific-assessment-tool-for-colonoscopy
#13
Catharine M Walsh, Simon C Ling, Nitin Khanna, Mary Anne Cooper, Samir C Grover, Gary May, Thomas D Walters, Linda Rabeneck, Richard Reznick, Heather Carnahan
BACKGROUND: Ensuring competence remains a seminal objective of endoscopy training programs, professional organizations, and accreditation bodies; however, no widely accepted measure of endoscopic competence currently exists. OBJECTIVE: By using Delphi methodology, we aimed to develop and establish the content validity of the Gastrointestinal Endoscopy Competency Assessment Tool for colonoscopy. DESIGN: An international panel of endoscopy experts rated potential checklist and global rating items for their importance as indicators of the competence of trainees learning to perform colonoscopy...
May 2014: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/24122507/achievement-of-competency-in-endoscopic-sinus-surgery-of-otolaryngology-residents
#14
Kulsoom Laeeq, Sandra Y Lin, David A Diaz Voss Varela, Andrew P Lane, Douglas Reh, Nasir I Bhatti
OBJECTIVES/HYPOTHESIS: The goal of our study is to identify the number of Endoscopic Sinus Surgery (ESS) cases required to obtain competency in ESS, using a previously validated assessment tool. STUDY DESIGN: Prospective observational study. METHODS: Seventeen residents from Johns Hopkins Otolaryngology-Head & Neck Surgery residency program were evaluated as they performed endoscopic sinus surgery in the operating room. Global and checklist parts of the ESS instrument were used for assessment purposes...
December 2013: Laryngoscope
https://www.readbyqxmd.com/read/24016368/educational-value-of-a-preoperative-ct-sinus-checklist-a-resident-s-perspective
#15
Christopher M Yao, Vinay T Fernandes, James N Palmer, John M Lee
OBJECTIVE: The objective of this study is to evaluate the educational value and effectiveness of a preoperative computed tomography (CT) sinus anatomy checklist as a teaching method from the perspective of otolaryngology residents. DESIGN: Between 2009 and 2011, 15 otolaryngology residents completed a CT sinus anatomy checklist prior to the start of sinus surgery cases. A cross-sectional brief Likert-type questionnaire assessed the resident experience with the checklist...
September 2013: Journal of Surgical Education
https://www.readbyqxmd.com/read/23859887/face-content-and-concurrent-validity-of-the-mimic%C3%A2-dv-trainer-for-robot-assisted-endoscopic-surgery-a-prospective-study
#16
COMPARATIVE STUDY
H Egi, M Hattori, M Tokunaga, T Suzuki, K Kawaguchi, H Sawada, H Ohdan
OBJECTIVE: The aim of this study was to determine whether any correlation exists between the performance of the Mimic® dV-Trainer (Mimic Technologies, Seattle, Wash., USA) and the da Vinci Surgical System (Intuitive Surgical, Sunnyvale, Calif., USA). METHODS: Twelve participants were recruited, ranging from residents to consultants. We used four training tasks, consisting of 'Pick and Place', 'Peg Board', 'Thread the Rings' and 'Suture Sponge', from the software program of the Mimic dV-Trainer...
2013: European Surgical Research. Europäische Chirurgische Forschung. Recherches Chirurgicales Européennes
https://www.readbyqxmd.com/read/23576246/impact-of-s3-training-courses-sedation-and-emergency-management-in-endoscopy-for-endoscopy-nurses-and-assisting-personnel-on-the-process-and-structure-quality-in-gastroenterological-endoscopy-in-practices-and-clinics-results-of-a-nationwide-survey
#17
D Schilling, K Leicht, U Beilenhoff, E Kern Waechter, B Kallinowski, J Labenz, C Weiß, S Büttner, A Riphaus
INTRODUCTION: After the S3 Guideline Sedation in Gastrointestinal Endoscopy was published, a training curriculum for a three-day course for endoscopy nurses was developed. The aim of this study was to investigate what effect the course participation had on the daily routine process and structure quality by implementing a German-wide survey in gastroenterology practices and clinics. METHODS: A questionnaire with a total of 44 individual questions on personnel, space, and equipment structure, sedation, peri- and post-interventional monitoring, as well as discharge and complication management in endoscopy departments was sent to a total of 2113 course participants (1056 Institutions)...
July 2013: Zeitschrift Für Gastroenterologie
https://www.readbyqxmd.com/read/23459104/determinants-of-symptoms-in-gastroesophageal-reflux-disease-nonerosive-reflux-disease-symptomatic-and-silent-erosive-reflux-disease
#18
Ju Young Choi, Hye-Kyung Jung, Eun Mi Song, Ki-Nam Shim, Sung-Ae Jung
BACKGROUND: Nonerosive reflux disease (NERD) is detected frequently. Furthermore, as general checkups including endoscopy have become popular, silent erosive esophagitis (EE), which is defined as EE without the typical symptoms of gastroesophageal reflux disease (GERD), is also frequently encountered. We investigated the determinants of symptom presentation in symptomatic EE, NERD, and silent EE, which are representative GERD groups. MATERIALS AND METHODS: Participants in a prospective health-screening cohort underwent upper endoscopy from June 2009 to September 2010...
July 2013: European Journal of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/23322151/-ten-years-german-protection-against-infection-act-evaluation-of-the-implementation-of-infection-control-visits-in-the-ambulatory-medical-setting
#19
U Heudorf, T Eikmann, M Exner
In 2001, the German Protection against Infection Act came into force, implementing a variety of new regulations. For the first time, obligatory infection control visits of the public health departments in surgical ambulatory practices were implemented, as well as optional infection control visits in all medical, dental and paramedical practices using invasive methods. Based on the data of the public health department of the city of Frankfurt am Main, Germany, an evaluation of this new regulation is given in this paper...
March 2013: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/23288689/teaching-and-assessing-endoscopic-sinus-surgery-skills-on-a-validated-low-cost-task-trainer
#20
Matthew K Steehler, Eugenia E Chu, Hana Na, Michael J Pfisterer, Hosai N Hesham, Sonya Malekzadeh
OBJECTIVES/HYPOTHESIS: To evaluate a previously validated low-cost sinus surgery task trainer as a means of acquiring basic endoscopic sinus surgery skills and as an objective structured assessment of technical skills (OSATS) to determine procedural competency. STUDY DESIGN: Prospective blinded study. METHODS: Medical students (N = 52) with no sinus surgery experience learned to perform nasal endoscopy and five specific sinus surgery tasks using the validated task trainer...
April 2013: Laryngoscope
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