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Fred E. Shapiro, DO, is Assistant Professor of Anesthesia, Harvard Medical School, Beth Israel Deaconess Medical Center Department of Anesthesia Critical Care and Pain Medicine, Boston, MA. He is Co-Founder of The Institute for Safety in Office-Based Surgery (ISOBS), Immediate Past President of the Massachusetts Society of Anesthesiologists and member of ASA Committees on Patient Safety and Education, Quality Management and Departmental Administration (QMDA), Governmental Affairs, and Ambulatory Surgical Services. He can be reached at

The Institute For Safety in Office-Based Surgery (ISOBS)

In recent years, the economic pressures of medicine have incited a paradigm shift in health care delivery, such that surgical procedures are moving from the hospital to the office-based setting. Often called the “wild west of health care,” office- based procedures continue to increase at a rapid pace, with an estimated more than 10 million procedures performed in 2010. A growing body of literature calls for greater leadership in the field of office-based surgery, and for leaders who are educated in all facets of quality improvement. In addition, a recent study found that a comprehensive checklist used in an interdisciplinary, team-based setting resulted in a reduction in surgical complications as well as cost savings.Development of such a checklist and education of practitioners, patients, and office personnel is the mission of the Institute for Safety in Office-Based Surgery. An independent, non-profit 501(c)(3) organization, ISOBS has developed a safety checklist for use in...
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