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The e-mémoires of the Académie Nationale de Chirurgie

The «No Go» in Orthopedic Surgery

COUDANE H | BENFRECH E | LECOQ C | ZABEE L | TRACOL PH

Seance of wednesday 27 january 2016 (SÉANCE COMMUNE AVEC LA SOFCOT : Nouveautés en chirurgie orthopédique et traumatologique)

Abstract

«No Go» is a term usually employed in the aeronautic field to indicate that a take-off was aborted from an aircraft that has reached the end of the runway because all the key elements of the procedures were not validated. In surgery, it is an immediate stop of the surgical procedure because all of the necessary elements were not validated. The No-go principle is applied from the moment a patient goes into the operating room up until the incision. Beyond that point, it is no longer considered a No-go but a surgical incident.We have studied the No Go phenomenon through Carrying Risk Events (CRE) declared by the members of the Orthorisq (the accreditation organization of orthopaedic surgeons in France) which have been analyzed through an Alarm matrix that is commonly used in risk management.We have completed an analysis with the help of an extensive internet survey which has been sent to the 1828 Orthorisq members. The goals are to obtain a better understanding of the frequency, causes and consequences of the No Go in order to reduce the number of such incidents