Surgical Service Name of Presenter Date 1 Situation Statement of the Problem Admitting Diagnosis: Procedure Performed/Care provided: Complication:
2 Background Clinical Information Pertinent to Adverse Outcome Pertinent patient history Indication for surgical procedure/care
Pertinent labs and imaging Procedural details related to complication Hospital course related to complication or recognition of the complication Management of complication 3 Background Clinical Information Pertinent to Adverse Outcome
Pertinent patient history Indication for surgical procedure/care Pertinent labs and imaging Procedural details related to complication Hospital course related to complication or recognition of the complication Management of complication 4 Assessment
Error Analysis 5 Analysis Root Cause Analysis Cause Individual factors Enter contributing factors here Effect
Team factors Enter contributing factors here Patient factors Enter contributing factors here Complication Enter contributing
factors here Environment Enter contributing factors here Rules/Policy Enter contributing factors here Organization
6 Review of Literature Evidence-based practice 7 Review of Literature Evidence-based practice 8 Recommendations
Proposed Actions to Prevent Future Similar problems 9 Guidance notes to presenters Situation is the statement of the problem. It allows the audience to focus their attention to the pertinent points in the case related to the complications. 10 Background: here you provide clinical information pertinent to adverse
outcome: Patient History : Pertinent HPI / PMH / PSH / meds) Indication for Intervention: Important to know thought process into performing an operation Labs and Imaging Studies: Only show pertinent labs and images Procedural Details: Describe technical or physiologic details related to outcome Hospital Course: Present non-procedural events related to outcome (Be brief, i.e., no need to list when patient passed flatus) Recognition of the Complication: State how/when complication was recognized Management of Complication: Describe the steps taken to manage the complication
MAKE THIS PART SHORT & SWEET! 11 Assessment & Analysis: trainee presenters often neglect or are weak at error analysis. Be prepared to identify and discuss the possible cause(s) of the complication: What happened? (Error analysis): Describe sequence of events leading to adverse outcome Why did it occur? (Root Cause analysis): Try to identify the root case of the complication i.e. what allowed this complication to occur, what
aspects of system failed and why? If you could go back what would you change to prevent this complication from occurring? 12 Review of literature: here you present appropriate literature pertinent to the complication. What is the best evidence related to this avoiding this complication? This may relate to: - Identification of complication - Management of complication - Prevention of complication
13 Recommendations: This is another area where trainee presentations could be improved. Trainees are often good at discussing the complication but do not list recommendations for the audience that can help prevent these complications. You should: Identify how the problem could have been prevented or better managed Identify the learning points from the case
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