Key result
Changing the culture in neurosurgery to prioritize patient safety, implement systems-based strategies, and dismantle authority gradients is essential to prevent avoidable medical errors.
This presidential address emphasizes the critical need for a culture shift in neurosurgery to prioritize patient safety through systems-based strategies, improved communication, and a well-rested workforce.
Prioritizes safety culture assessment in neurosurgery; leaves open whether interventions reduce errors without prospective validation.
"Changing our culture to advance patient safety" served as the theme of the 81st Annual Meeting of the American Association of Neurological Surgeons and is an issue of personal importance to the author. To improve outcomes for patients and prevent avoidable surgical errors, neurosurgeons must change the culture that currently exists in the operating room so that safety concerns are of the utmost importance and that each member of the care team has a personal sense of accountability. Doing this will involve implementing and consistently applying systems-based strategies to ensure an adequate level of safeguards; improving communication with all members of the care team and dismantling authority gradients; and maintaining a well-trained and well-rested workforce.
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Berger et al. (2013) conducted an editorial in Patient safety in neurosurgery. Systems-based safety strategies and culture change was evaluated. Changing the culture in neurosurgery to prioritize patient safety, implement systems-based strategies, and dismantle authority gradients is essential to prevent avoidable medical errors.
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