OR safety in neurosurgery

What is it about?

This letter is in response to a study about errors in the operating room. The authors of the original article are commended for their work. The letter highlights the importance of flattening the hierarchy in the operating room to assure that potential errors are reported by all members of the team.

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Why is it important?

OR safety in neurosurgery and in all surgery can be improved when specific steps are taken to assure that all members of the team are empowered to participate in preventing errors without fear of reprimand for speaking out of turn.