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United Kingdom 30-day mortality rates after surgery for pediatric central nervous system tumors

Clinical article

Roddy O'Kane, Ryan Mathew, Tom Kenny, Charles Stiller, and Paul Chumas

Surgeons of England : Measuring Surgical Outcomes ( ) [Accessed May 14, 2013] 31 Sandri A , Sardi N , Genitori L , Giordano F , Peretta P , Basso ME , : Diffuse and focal brain stem tumors in childhood: prognostic factors and surgical outcome. Experience in a single institution . Childs Nerv Syst 22 : 1127 – 1135 , 2006 10.1007/s00381-006-0083-x 32 Shaw K , Cassel CK , Black C , Levinson W : Shared medical regulation in a time of

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Mobile pediatric neurosurgery: rapid response neurosurgery for remote or urgent pediatric patients

Brian K. Owler, Kathryn A. Browning Carmo, Wendy Bladwell, T. Arieta Fa’asalele, Jane Roxburgh, Tina Kendrick, and Andrew Berry

included in service level agreements between referring hospitals and the NETS. Orientation to the aircraft and safety briefings for the neurosurgeons were also conducted. The current protocol has been successful to date, with no patient complications or compromise in those cases where the protocol was used. Rather, we believe that in several cases the neurosurgical procedures were lifesaving. We have also demonstrated that mobile neurosurgery has decreased time to critical surgery from a median triage to tertiary admission from 06:16 hours (IQR 2:30–07:22 hours) down

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Intraoperative complications in pediatric neurosurgery: review of 1807 cases

Erik J. van Lindert, Sebastian Arts, Laura M. Blok, Mark P. Hendriks, Luc Tielens, Martine van Bilsen, and Hans Delye

communication problems. Work flow and procedures have been improved in our hospital by the introduction of a briefing with the complete operating room team at the start of the day of surgery, a time-out procedure before each surgery, a sign-out procedure after each surgery, a double-check procedure for medication and blood products, and a debriefing at the end of the workday. These procedures have been further improved and tightened by digitalization of these processes with the introduction of new electronic health record software (EPIC Systems). Furthermore, in 2013, all

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46th Annual Meeting The American Society of Pediatric Neurosurgeons

Jointly provided by AANS

coordination among surgical teams are known causes of preventable medical harms waste, and stress. Processes designed to improve perioperative communication have been shown to reduce errors and complications and to improve quality. There is extensive evidence supporting the use of checklists, timeouts, and debriefs. One such activity is the pre-operative huddle. This briefing includes the entire surgical team. It is an attempt to ensure that every member of the operative team has clarity regarding the specifics of the proposed surgical procedure and the respective patient