Error Traps and Culture of Safety in Abdominal Wall Defects

A culture of safety is a deliberate way of doing things to avoid complications.

Error traps are things that work well most of the time, but can have certain nuances where sometimes they do not work well.

The spring loaded silo works quite well for the majority of gastroschisis patients.

The spring loaded silo can lead to very significant complications such as bowel wall necrosis and perforation in gastroschisis cases.

Gastroschisis cases and omphalocele have really very different issues requiring separation in analysis.

There can be findings on ultrasound that should alert clinicians to closing gastroschisis cases or other complications where a premature delivery may be needed.

One error trap in gastroschisis is to assume that there would be no reason to do a premature delivery.