Half of cases involving an unplanned return to OR after surgery were judged to represent a preventable complication.Orthop Traumatol Surg Res. 2015;101:399-403.
Unplanned return to theater: a quality of care and risk management index?
Pujol N, Merrer J, Lemaire B, et al. Orthop Traumatol Surg Res. 2015;101:399-403.
Trigger tools are a useful method to screen for adverse events. To determine whether unplanned return to surgery could be utilized as a trigger for detecting errors, this study assessed rates of such incidents in an orthopedic and traumatologic surgery department. Using an approach similar to prior studies of delayed diagnosis, researchers examined a retrospective case series of orthopedic and trauma surgeries in which a revision procedure occurred. They found a relatively low incidence of unplanned return to surgery, but their clinical review indicated that half of such cases represented preventable complications. The authors advocate for a registry of unplanned return surgeries as a patient safety improvement strategy.
How prevalent are hazardous attitudes among orthopaedic surgeons?
Bruinsma WE, Becker SJE, Guitton TG, Kadzielski J, Ring D. Clin Orthop Relat Res. 2015;473:1582-1589.
Evaluation of critical incidents in general surgery.
Zingg U, Zala-Mezoe E, Kuenzle B, et al. Br J Surg. 2008;95:1420-1425.
Surgical adverse events: a systematic review.
Anderson O, Davis R, Hanna GB, Vincent CA. Am J Surg. 2013;206:253-262.
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Surgeon-specific mortality data disguise wider failings in delivery of safe surgical services.
Westaby S, De Silva R, Petrou M, Bond S, Taggart D. Eur J Cardiothorac Surg. 2015;47:341-345.