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Misadventures in General Surgery
Published in Marilyn Sue Bogner, Misadventures in Health Care, 2003
The relevance of team research in other medical and nonmedical domains to the OR is clear. A comparison of attitudes toward teamwork in operating rooms, intensive care units, and major airlines concluded that physicians and nurses find error comparatively more difficult to discuss in medical settings, and medical staff often deny the effect of stress and fatigue on their performance (Sexton, Thomas, & Helmreich, 2000). Other problems experienced by OR personnel are differing perceptions of teamwork among team members and reluctance of senior operating theatre staff to accept input from junior members. In emergency medicine, a team approach with proper training can decrease errors and the cost of emergency medical care (Risser et al., 1999; Small et al., 1999). A trained nursing team facilitates laparoscopic surgical procedures—surgery performed through a “keyhole” incision using a telescope and a video camera to project images of the inside of the body on a TV screen (Kenyon, Lenker, Bax, & Swanstrom, 1997).
Effects of distance and rescue time to medical facilities on traffic mortality utilizing GIS
Published in International Journal of Injury Control and Safety Promotion, 2018
Wei Hu, Qiao Dong, Baoshan Huang
An important objective of traffic engineering is to reduce car crashes, especially for those involving seriously injured patients. However, when an accident happens, the time required for rescue may serve as a key factor in saving patients’ lives. In emergency medicine, the first 60 min after a traumatic injury has been deemed as the ‘golden hour,’ during which there is the highest likelihood that prompt medical treatment will prevent death. Data from the National Highway Traffic Safety Administration (NHTSA) also emphasize the role of rescue time. Although only 24% of total crashes occur in rural areas, rural crashes accounted for 59% of all fatal crashes. According to the NHTSA, ‘Delay in delivering emergency medical services is one of the factors contributing to the disproportionately high fatality rate for rural crash victims’ (1998).