Is the new ASNM intraoperative neuromonitoring supervision "guideline" a trustworthy guideline? A commentary

Stanley A. Skinner*, Elif Ilgaz Aydinlar, Lawrence F. Borges, Bob S. Carter, Bradford L. Currier, Vedran Deletis, Charles Dong, John Paul Dormans, Gea Drost, Isabel Fernandez-Conejero, E. Matthew Hoffman, Robert N. Holdefer, Paulo Andre Teixeira Kimaid, Antoun Koht, Karl F. Kothbauer, David B. MacDonald, John J. McAuliffe, David E. Morledge, Susan H. Morris, Jonathan NortonKlaus Novak, Kyung Seok Park, Joseph H. Perra, Julian Prell, David M. Rippe, Francesco Sala, Daniel M. Schwartz, Martin J. Segura, Kathleen Seidel, Christoph Seubert, Mirela V. Simon, Francisco Soto, Jeffrey A. Strommen, Andrea Szelenyi, Armando Tello, Sedat Ulkatan, Javier Urriza, Marshall Wilkinson

*Corresponding author for this work

Research output: Contribution to journalEditorialAcademicpeer-review

4 Citations (Scopus)
162 Downloads (Pure)

Abstract

The new ASNM intraoperative neuromonitoring (IONM) supervision guideline [1] attempts to justify current remote IONM practices.1 Contrary to ordinary clinical practice guideline development, it is provider-centered, not patient-centered.

The new guideline could have embraced recent scholarship that indicates the need to provide robust teamwork and medical error avoidance. It could have moved in the direction of improved patient safety and outcomes. Instead, key words are repeated (“communicate,” “collaborate,” “team”) many times, but with no meaningful strategy to achieve their patient safety potential. In fact, within this new guideline, an IONM remote provider’s communication with in-room physician peers and co-practitioners is defined as: “… at minimum, direct voice access (via ‘land-line’ or cellular network) for perioperative communication with the surgical team”.
Original languageEnglish
Pages (from-to)185-190
Number of pages6
JournalJournal of clinical monitoring and computing
Volume33
Issue number2
DOIs
Publication statusPublished - Apr-2019

Keywords

  • OPERATING-ROOM
  • COMMUNICATION
  • TELEMEDICINE
  • TEAMWORK
  • ERROR
  • CARE

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