Table 1 Perioperative Critical Event Scenarios
Scenario (Task) | Setting | Procedure | Critical Patient Issue | Critical Communication |
|---|---|---|---|---|
LAST | Outpatient procedural suite | Dilation and curettage with a paracervical block | Local anesthetic systemic toxicity leading to hemodynamic collapse | Obstetrician Sedation Nurse 2nd Anesthesiologist |
MH | Post-anaesthesia recovery unit (PACU) | Endoscopic retrograde cholangiopancreatography (ERCP) | Malignant hyperthermia presenting in the post anesthesia care unit | Gastroenterologist Recovery Room Nurse Respiratory Therapist 2nd Anesthesiologist |
Hemorrhage | Operating Room (OR) | Pelvic laparoscopic surgery | Occult retroperitoneal hemorrhage secondary to an iatrogenic injury leading to hemodynamic instability and shock | Surgeon OR circulating nurse 2nd anesthesiologist |