technological advance has been that of non-invasive blood flow monitoring such as oesophageal Doppler monitors

technological advance has been that of non-invasive blood flow monitoring such as oesophageal Doppler monitors. These have the capacity to demonstrate changes in central circulation without need for intervention, such as placement of a central venous catheter, thereby reducing length of stay and post-operative complications, whilst allowing high quality monitoring perioperatively.
The perioperative period is a very dangerous time for patience; half of all adverse events in hospitals are related to surgical procedures in the operating department. Improvements in anesthetic and surgical practice have resulted in a significant reduction in complications.
The role of the nurse in the perioperative environment has been widened and advanced in ways that include providing emotional support to the patient prior to the induction of anesthesia which was not considered in the past as training was not diversified to such fields. Nurses also implement and enforce policies and procedures that contribute to patient safety not as the old era where nurses only passed tools used in the operating room or did the sterilization of equipment and cloths. With the development of technology in the perioperative environment there are advantages such as the improvement of patient safety and care which was not the case in the past where environments were less sterile and equipment limited. Advancements in technology have lessened the amount of time in procedures that were time consuming by enabling on/offsite skills building and increased proficiency. Some advancements have taken up the nurses role and has been termed as “dehumanized patient care, “thus solving cases of shortage of nurses and is a cost saving investment for healthcare facilities. Workflow for nurses has been made faster and easier compared to the past where it was slower and more complicated. Data is entered once with real time decision support provided by the live feed in the clinical area that is shared with other experts in the medical field. This is enabled by high levels of surgical equipment and software application interoperability throughout the perioperative process. All data generated by clinical equipment should flow into clinical databases without manual re-entry, thus increasing clinical acceptance and accuracy of data by reducing user workload and transcription errors.
Communication is important in the modern medical practice, both with patients and between fellow healthcare professionals. Miscommunication is the key factor in medical errors. Given the complex inter-professional environment in theatres, it should come as no surprise that communication impacts on roughly 65% (i.e. reportable) events. This is crucial in the perioperative environment, where up to half of all complications are potentially avoidable. Given the prominent role communication plays in errors, methods for improving communication between team members have advanced thus the reduction of the frequency of such errors.