Sedgwick • Reviewing any unexpected outcomes in cases involving concurrent legal counsel and administrators to proactively address patient safety, as well as the ethical and regulatory issues that currently surround the practice of concurrent or overlapping surgery. Bringing the topic to an appropriate decision-making body or committee with related guidelines and regulations for review, along with recommendations for action, can set guidance for providers and mitigate risks for the organization. Kathleen Shostek, RN, ARM, FASHRM, CPHRM, CPPS, is vice president, healthcare risk management, Sedgwick. She can be contacted at: firstname.lastname@example.org 22 “A clear means of communication and a chain of command for OR nurses and surgical support staff to ask questions and voice concerns should be established.” References 1 Mello M. and Livingston E. Managing the Risks of Concurrent Surgeries. JAMA 2 Abelson J., et. al. Clash in the Name of Care. Boston Globe Spotlight Team Report. https:// apps.bostonglobe.com/spotlight/clash-in-the-name-of-care/story/. 3 CMS Manual System. Teaching Physician Services. Sept. 14, 2011. https://www.cms.gov/ Regulations-and-Guidance/Guidance/Transmittals/downloads/R2303CP.pdf. 4 Abelson J. et. al. Concurrent Surgeries Come Under Scrutiny. Boston Globe. Dec. 20, 2015. https://www.bostonglobe.com/metro/2015/12/19/concern-over-double-booked-surgeriesemerges national-issue-for-hospitals/6IjRw2WkDYdt5oZljpajcO/story.html. 5 ACS. Statements on Principles. April 12, 2016. https://www.facs.org/about-acs/ statements/stonprin. 6 Yount KW, Gillen JR, Kron IL, et al. American Association for Thoracic Surgery. 2014 Annual Meeting. Toronto, ON. http://aats.org/annualmeeting/Program-Books/2014/2.cgi performance or overlaps, as well as any extended anesthesia times while awaiting a surgeon’s arrival. Dubraski & Associates is a privately-held, independent health care industry across all lines of business. Business Insurance | HEALTHCARE RISK MANAGEMENT REVIEW | Annual 2016 dubraski.com | 858.792.4000 Professional Liability, Property, Casualty & Executive Liability HEALTH CARE EXPERTISE Health Care Data Privacy & Security Managed Care StopLoss Insurance & Reinsurance Employee Benefits, Pharmacy Benefit Management, Communications & Enrollment Equipment Maintenance Management Programs Dubraski & Associates is a part of the Risk Strategies Family of Companies.
HRMR Annual 2016-17
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