The Ideal Operating Room Culture, Safety, and Practice

Credit Available

* You will be redirected to the BCM DCPD credit management site when claiming credit and may be asked to register or log in.

In this presentation, Dr. Shanda Blackmon discusses the benefits and relative costs of various procedures and policies that have been found to increase operating room efficiency and safety. Additionally, she demonstrates the importance of developing an operating room culture that promotes practicing for and speaking up about potential errors, hazards, and emergencies.
This Michael E. DeBakey Department of Surgery Grand Rounds session took place on Wednesday, September 11, 2024 at 7:00 a.m.

Activity Information

How to Claim Credit

You may claim credit after watching this activity.

You will be redirected to the BCM DCPD credit management site when claiming credit and may be asked to register or log in.

Needs Statement

Surgeons, advanced practice providers, fellows, residents, and medical students in various surgical specialties and subspecialties need to receive regular updates on advances in surgical care and clinical practices. Novel technologies and procedures will be examined as means to improve the diagnosis and treatment of medical conditions requiring surgical intervention. The series aims to expand the knowledge of learners, enhance surgical skills, increase surgical efficiency, disseminate surgical best practices, and improve surgical outcomes.

Educational Objectives

At the conclusion of the session, the participants should be able to:

  • Acknowledge supervision guidelines, recognize surrogacy rules, describe operative briefings, and demonstrate proper hand-off techniques.
  • Emphasize speaking up, planning for emergencies, and discuss occupational hazards and incivility management.
  • Describe the value of standard operating procedures (SOPs), explain the process of filing intellectual property (IP) and innovating from mistakes, and introduce key concepts like define, measure, analyze, improve, control (DMAIC), Gemba walk, enhanced recovery after surgery (ERAS), and knowledge care pathways.
  • Uphold concepts such as closed loop communication, credentialing and privileging, transparency, cost containment, and consent and disclosure.

Target Audience

Professional Categories

  • Physicians
  • Medical Students
  • Fellows
  • Residents
  • Other Health Professionals

Specialties

  • Surgery

Interest Groups

  • Quality Improvement and Patient Safety

Activity Evaluation

Evaluation by questionnaire will address program content, presentation, and possible bias.

Educational Methods

  • Lectures
  • Case Presentations
  • Literature Review
  • Panel Discussion

Accreditation/Credit Designation

Baylor College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Baylor College of Medicine designates this enduring activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Activity Directors

  1. Michele Loor, M.D., FACS

    Michele Loor, M.D., FACS

    Associate Professor
    Baylor College of Medicine
  2. James W. Suliburk, M.D., FACS

    James W. Suliburk, M.D., FACS

    Associate Professor and Chief, Endocrine Surgery
    Baylor College of Medicine

Term of Approval

September 1, 2024 through September 30, 2026. Original release date: September 1, 2024.

Disclosure Policy

Baylor College of Medicine (BCM) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education (CME) for physicians. BCM is committed to sponsoring CE activities that are scientifically based, accurate, current, and objectively presented.

In accordance with the ACCME Standards for Commercial Support, BCM has implemented a mechanism requiring everyone in a position to control the content of an educational activity (i.e., directors, planning committee members, faculty) to disclose any relevant financial relationships with commercial interests (drug/device companies) and manage/resolve any conflicts of interest prior to the activity. Individuals must disclose to participants the existence or non-existence of financial relationships at the time of the activity or within 24 months prior.

In addition, BCM has requested activity faculty/presenters to disclose to participants any unlabeled use or investigational use of pharmaceutical/device products; to use scientific or generic names (not trade names) in referring to products; and, if necessary to use a trade name, to use the names of similar products or those within a class. Faculty/presenters have also been requested to adhere to the ACCME's validation of clinical content statements.

BCM does not view the existence of financial relationships with commercial interests as implying bias or decreasing the value of a presentation. It is up to participants to determine whether the relationships influence the activity faculty with regard to exposition or conclusions. If at any time during this activity you feel that there has been commercial/promotional bias, notify the Activity Director or Activity Coordinator. Please answer the questions about balance and objectivity in the activity evaluation candidly.

All of the relevant financial relationships listed for these individuals have been mitigated.

Disclosures

The following individual(s) has/have reported financial or other relationship(s) with commercial entities whose products/services may relate to the educational content of this activity:

Presenter

  1. Shanda H. Blackmon, M.D., M.P.H., FACS

    Shanda H. Blackmon, M.D., M.P.H., FACS

    Professor of Surgery; Executive Director, Lung Institute
    Baylor College of Medicine

    Disclosure:
    • Research Support: Natera; Medtronic; Steris
    • Consultancy: Medtronic; Scanlan; Astra Zeneca
    • Advisory Committee Membership: Intuitive; Medtronic;
    • Honorarium Recipient: Astra Zeneca; Medella
    • Intellectual Property (patent rights, royalty payments): Scanlan; Mayo Clinic
    • Board Membership: American Lung Association

Activity Directors

  1. Michele Loor, M.D., FACS

    Michele Loor, M.D., FACS

    Associate Professor
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  2. James W. Suliburk, M.D., FACS

    James W. Suliburk, M.D., FACS

    Associate Professor and Chief, Endocrine Surgery
    Baylor College of Medicine

    Disclosure:
    • Consultancy: Ascendis Pharmaceuticals; Corcept Pharmaceuticals
    • Intellectual Property (patent rights, royalty payments): Inspectra Diagnostics; MasSpec Pen Technologies

Planning Committee Members

  1. William E Fisher, M.D., FACS

    William E Fisher, M.D., FACS

    Professor, Clinical Vice-Chair and Chief, Division of General Surgery
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  2. John A Goss, M.D.

    John A Goss, M.D.

    Professor of Surgery and Chief, Division of Abdominal Transplantation
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  3. Michele Loor, M.D., FACS

    Michele Loor, M.D., FACS

    Associate Professor
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  4. Todd Rosengart, M.D., F.A.C.S.

    Todd Rosengart, M.D., F.A.C.S.

    DeBakey-Bard Chair of Surgery
    Baylor College of Medicine

    Disclosure:
    • Consultancy: XyloCor Therapeutics
    • Board Membership: XyloCor Therapeutics; Geoclin Therapeutics
    • Ownership Interests (stock, stock options, excluding diversified mutual funds): XyloCor Therapeutics; Geoclin Therapeutics
  5. James W. Suliburk, M.D., FACS

    James W. Suliburk, M.D., FACS

    Associate Professor and Chief, Endocrine Surgery
    Baylor College of Medicine

    Disclosure:
    • Consultancy: Ascendis Pharmaceuticals; Corcept Pharmaceuticals
    • Intellectual Property (patent rights, royalty payments): Inspectra Diagnostics; Mass Spec Pen Technologies

Presenter:

Shanda H. Blackmon, M.D., M.P.H., FACS

Shanda H. Blackmon, M.D., M.P.H., FACS

Professor of Surgery; Executive Director, Lung Institute Baylor College of Medicine

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