Future Directions of Surgical Safety

  • Timothy D. Browder
  • Paul M. Maggio


Surgical care has evolved over the last century into a complex delivery system where errors in patient care occur throughout the entire perioperative period. Efforts to improve the quality of care and promote patient safety must include tools and conceptual frameworks from industries outside of health care. Systems engineering, establishing a culture of safety, and resilience engineering are systematic approaches to drive quality improvement, avoid errors, and minimize harm when errors do occur. These improvement strategies should be subjected to the same scientific rigor used in other areas of clinical research to determine which approaches are most effective. Physicians must embrace improvement science in order to drive and shape future quality and safety initiatives.


Health care systems engineering Culture of safety Team training Checklists Team briefings High reliability organizations Resilience engineering Improvement science 


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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.Department of SurgeryStanford Hospital and ClinicsStanfordUSA

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