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The Critical View of Safety: Creating Procedural Safety Benchmarks

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The SAGES Manual of Quality, Outcomes and Patient Safety

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Abstract

Laparoscopic cholecystectomy is one of the most common procedures performed by general surgeons worldwide. Although complications occur infrequently, serious adverse events such as bile duct injury still occur at a frequency somewhat higher than reported prior to the development of laparoscopic cholecystectomy. Optimization of safe performance of this procedure can be enhanced by a number of principles as espoused in the SAGES safe cholecystectomy program. These initiatives include the SAGES six-step program, the SAGES safe cholecystectomy didactic modules, and the recently published multi-society consensus conference clinical practice guideline on prevention of bile duct injury during cholecystectomy. Foremost among these is understanding and applying the critical view of safety (CVS) as well as knowing when to alter the approach when the CVS cannot be achieved. In this chapter, these principles along with the rationale behind them are reviewed in detail.

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Author information

Authors and Affiliations

  1. Department of Surgery and Section of Minimally Invasive Surgery, Washington University School of Medicine, St. Louis, MO, USA

    William C. Sherrill III & L. Michael Brunt

Authors
  1. William C. Sherrill III
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  2. L. Michael Brunt
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Corresponding author

Correspondence to L. Michael Brunt .

Editor information

Editors and Affiliations

  1. Department of Surgery, University of Massachusetts Chan Medical School - Baystate, Medical Center, Springfield, MA, USA

    John R. Romanelli

  2. Department of Surgery, Inova Fairfax Medical Campus, Falls Church, VA, USA

    Jonathan M. Dort

  3. Department of Surgery, Lenox Hill Hospital, New York, NY, USA

    Rebecca B. Kowalski

  4. Department of Surgery, NYU Langone Medical Center, Brooklyn, NY, USA

    Prashant Sinha

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Sherrill, W.C., Brunt, L.M. (2022). The Critical View of Safety: Creating Procedural Safety Benchmarks. In: Romanelli, J.R., Dort, J.M., Kowalski, R.B., Sinha, P. (eds) The SAGES Manual of Quality, Outcomes and Patient Safety. Springer, Cham. https://doi.org/10.1007/978-3-030-94610-4_35

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  • DOI: https://doi.org/10.1007/978-3-030-94610-4_35

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-94609-8

  • Online ISBN: 978-3-030-94610-4

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