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Emergency Manuals’ Use Can Improve the Providers’ Efficiency in Perioperative Crisis Management

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MLA citation style (9th ed.)

Rebecca Ngaling, SRNA. Emergency Manuals’ Use Can Improve the Providers’ Efficiency In Perioperative Crisis Management. . n232. saint-francis.hykucommons.org/concern/generic_works/0585aaaa-01e8-45f3-aa2d-daf6706ce9ce?locale=en.

APA citation style (7th ed.)

R. N. Srna. (n232). Emergency Manuals’ Use Can Improve the Providers’ Efficiency in Perioperative Crisis Management. https://saint-francis.hykucommons.org/concern/generic_works/0585aaaa-01e8-45f3-aa2d-daf6706ce9ce?locale=en

Chicago citation style (CMOS 17, author-date)

Rebecca Ngaling, SRNA. Emergency Manuals’ Use Can Improve the Providers’ Efficiency In Perioperative Crisis Management. n232. https://saint-francis.hykucommons.org/concern/generic_works/0585aaaa-01e8-45f3-aa2d-daf6706ce9ce?locale=en.

Note: These citations are programmatically generated and may be incomplete.

Aim: This project aimed to provide evidence that supports the use of the anesthesia emergency
manual (EM) to reduce omissions and errors in care and enhance the anesthesia provider's
efficiency in managing perioperative crises.
Background: Healthcare-related errors account for about 200,000-400,000 preventable patient
injuries or deaths in the U.S. annually. The cost of medical errors is about $20 billion a year in
the U.S. Therefore, implementing specific strategies for individual healthcare workers and
healthcare facilities to protect patients from medical harm is vital. EMs have long been used by
other professions such as nuclear power and the aviation industry to prevent or correct errors
before they occur and to improve consumer safety. Hence the anesthesia profession and many
other organizations such as the World Health Organization (WHO), American Society of
Anesthesiologists (ASA), Stanford Anesthesia Cognitive Aid Group (SACAG), and the
Emergency Manual Implementation Collaborative (EMIC), have collaborated and developed
EMs for the management of perioperative crises.
Methodology: Pre-and post-questionnaires were completed by the anesthesia providers at
Kosciusko Community Hospital (KCH) who attended the project intervention. In addition, the
intervention used a PowerPoint Presentation to educate the anesthesia providers on how
cognitive aids could significantly facilitate and improve care outcomes.
Findings: The participants perceived increased errors or omission rates by 44% when one relied
on memory or experience alone to perform an unfamiliar task and by 15.7% when performing
the emergency procedure. Of the providers at KCH who attended the intervention, there was an
increase from 60% to 100% of those who agreed to incorporate cognitive aids (CAs) as part of
the standard workflow when completing anesthesia-related tasks. Also, 100% of the participants
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who participated in the project intervention agreed/strongly agreed that routine training would
increase the use of CAs. Furthermore, if they were patients, they would prefer their providers to
use CAs while caring for them.
Conclusions/Implications: CAs’ use could reduce memory lapses and improve provider
efficiency in managing perioperative crises. The participants rated early and thoughtful
integration of CAs into the anesthesia program curriculum and the workplace highly effective in
strengthening the use of CAs.

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