Learning Center For Providers

The Institute is dedicated to educating medical professionals and the public about office-based practices to promote a safe, pleasant experience for all. The Institute fulfills its mission by:
  1. Providing OBS-related information to patients
  2. Providing OBS-related information to healthcare professionals
  3. Sponsoring Educational Activities such as Forums, Panels and Courses
  4. Recognizing individuals and organizations for their efforts to improve OBS safety

Below you will find useful resources for the practitioner that help address many aspects of safety in the office-based setting. Many resources are still under development, so expect many more in the near future. If you are interested in contributing, please contact the Institute.


1. Overview of office-based practice and safety (under development)
2. Patient Selection (under development)
3. Aesthetic Plastic Surgery: Safety for the Office Staff
4. Safety in Office-Based Phlebology Practice
5. Choosing the Right Anesthesia for Your Patient

The links below includes checklist background, development, and implementation information.

Safety Surgery Saves Lives (Harvard School of Public Health)

Safe Surgery 2015

ISOBS surgical safety checklist template

Institute for Healthcare Improvement

World Health Organization

Project Check

Education – Providers
The following are some helpful resources for physicians:

1.Bhananker SM, Posner KL, Cheney FW et al. Injury and liability associated with monitored anesthesia care: A Closed Claims analysis. Anesthesiology 2006; 104:228–34.
2. Domino, KB: Office-Based Anesthesia: Lessons Learned from the Closed Claims Project. ASA Newsletter 65(6): 9-11, 15, 2001.
3. Iverson RE, Lynch DJ, Twersky RS and the ASPS Task Force on Patient Safety in Office-Based Surgery Facilities. Patient safety in office-based surgery facilities. II: Patient Selection. Plast Reconstr Surg 2002; 110: 1785-90.
4. Vila H., Soto R., Cantor AB, Mackey D.: Comparative Outcomes Analysis of Procedures Performed in Physician Offices and Ambulatory Surgery Centers. Arch Surg. 2003; 138: 991-995.
5. Morello, D. C., Colon, G. A., Fredricks, S., et al. Patient safety in accredited office surgical facilities. Plast. Reconstr. Surg. 1997; 99: 1496–1500.
6. Hoefflin SM, Bornstein, JB, Gordon M: General anesthesia in an office-based plastic surgery facility: a report on more than 23,000 consecutive office-based procedures under general anesthesia with no significant complications. Plast Reconstrc Surg 2001; 107 : 243-51.
7. Perrott DH, Yuen JP, Andresen RV, et al. Office-based ambulatory anesthesia: Outcomes of clinical practice of oral and maxillofacial surgeons. J Oral Maxillofac Surg. 2003;61(9):983–995.
8. Bitar G, Mullis W, Jacobs W, et al. Safety and efficacy of office-based surgery with monitored anesthesia care/sedation in 4778 consecutive plastic surgery procedures. Plast Reconstr Surg. 2003;111(1):150–156.
9. Shapiro FE, Anesthesia for outpatient cosmetic surgery. In: Joshi G, editor. Current Opinions in Anesthesiology. London: Lippincott, Williams, and Wilkins; 2008; 21:704-11.
10. Kryger ZB, Dumanina GA, Howard MA. Safety issues in combined gynecologic and plastic surgical procedures. International Journal of Gynecology and Obstetrics 2007; 99: 257-263.
11. Clayman,MA, Seagle BM. Office Surgery Safety: The Myths and Truths behind the Florida Moratoria–-Six Years of Florida Data Plast. Reconstr. Surg 2006; 118: 777-785.
12. Hancox JG, Venkat A, Coldiron B, et al. The safety of office-based surgery: Review of recent literature form several disciplines. Arch Dermatol. 2004;140(11):1379–1382.
13. Horton, J. B., Reece, E. M., Broughton, G., et al. Patient safety in the office-based setting. Plast. Reconstr. Surg. 117: 61e, 2006.
14. safety using an Internet- based quality improvement and review program. Plast Reconstr Surg 2004; 113(6): 1760-70
15. Twersky RS, Philip BK, Shapiro FE (eds): Office-Based Anesthesia: Considerations for Anesthesiologists in Setting Up and Maintaining a Safe Office Anesthesia Environment. American Society of Anesthesiologists, 2008.