Patient Safety in Surgery
Improving blood product utilization at an ambulatory surgery center: a retrospective cohort study on 50 patients with lumbar disc replacement
There is minimal literature discussing anterior lumbar spine surgery in ambulatory surgery centers (ASCs). The main concern with the anterior approach to the lumbar spine is the potential for injury to great v...Patient Safety in Surgery 2019 13:45Surgical site infection leading to gangrene and amputation after ambulatory surgical care of an ingrown toenail: a case report
Currently, the management of ingrown toenail (onychocryptosis) ranges from conservative medical management to surgical treatment. Surgical management is typically performed as an outpatient procedure due to it...Patient Safety in Surgery 2019 13:44A descriptive survey on the use of resuscitative endovascular balloon occlusion of the aorta (REBOA) for pelvic fractures at US level I trauma centers
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is not widely adopted for pelvic fracture management. Western Trauma Association recommends REBOA for hemodynamically unstable pelvic fractures...Patient Safety in Surgery 2019 13:43Knowledge, attitude and practice of surgical staff towards preoperative surgical antibiotic prophylaxis at an academic tertiary hospital in Sudan
Surgical site infections (SSIs) are among the most common serious complications after surgery and associated with preventable morbidity, mortality, and increased health care costs. The use of surgical antimicr...Patient Safety in Surgery 2019 13:42Prophylactic antibiotic bundle compliance and surgical site infections: an artificial neural network analysis
Best practice “bundles” have been developed to lower the occurrence rate of surgical site infections (SSI’s). We developed artificial neural network (ANN) models to predict SSI occurrence based on prophylactic...Patient Safety in Surgery 2019 13:41Root causes and outcomes of postoperative pulmonary complications after abdominal surgery: a retrospective observational cohort study
Postoperative pulmonary complications (PPCs) contribute significantly to overall postoperative morbidity and mortality. In abdominal surgery, PPCs remain frequent. The study aimed to analyze the profile and ou...Patient Safety in Surgery 2019 13:40Intramedullary reaming modality for management of postoperative long bone infection: a prospective randomized controlled trial in 44 patients
Studies addressing the management of intramedullary infection are mainly retrospective and with a limited number of cases. Reaming can be performed using either conventional reaming or using the reamer/irrigat...Patient Safety in Surgery 2019 13:39Standardization of early drain removal following pancreatic resection: proposal of the “Ottawa pancreatic drain algorithm”
Early drain removal after pancreatic resection is encouraged for individuals with low postoperative day 1 drain amylase levels (POD1 DA) to mitigate associated morbidity. Although various protocols for drain m...Patient Safety in Surgery 2019 13:38Chronic abdominal pain after laparoscopic hernia repair due to mesh graft migration to the cecum: a case report
Hernia repair with mesh graft is one of the most common procedures in general surgery. Mesh graft repair is the treatment of choice for umbilical and periumbilical hernias to minimize recurrence. One of the ra...Patient Safety in Surgery 2019 13:37Summary of the International Patient Safety Conference, June 28—29, 2019, Kathmandu, Nepal
Globally, medical errors are associated with an estimated $42 billion in costs to healthcare systems. A variety of errors in the delivery of healthcare have been identified by the World Health Organization and...Patient Safety in Surgery 2019 13:36Prevention of lymphedema via axillary reverse mapping for arm lymph-node preservation following breast cancer surgery: a randomized controlled trial
Breast cancer, with an incidence of 32%, is the most frequent cancer among Egyptian women. The frequency of arm lymphedema after axillary surgery for breast cancer ranges from 7 to 77%. Axillary reverse mappin...Patient Safety in Surgery 2019 13:35Prevalence and root causes of surgical site infection among women undergoing caesarean section in Ethiopia: a systematic review and meta-analysis
Surgical site infection is a common complication in women undergoing Caesarean section and the second most common cause of maternal mortality in obstetrics. In Ethiopia, prevalence and root causes of surgical ...Patient Safety in Surgery 2019 13:34Patient safety awareness among 309 surgeons in Enugu, Nigeria: a cross-sectional survey
Adverse healthcare events are major public health problem with the heaviest burden in the low and middle-income countries. Patient safety awareness among healthcare professionals is known to impact this outcom...Patient Safety in Surgery 2019 13:33Current concepts of perioperative monitoring in high-risk surgical patients: a review
A substantial number of patients are at high-risk of intra- or post-operative complications or both. Most perioperative deaths are represented by patients who present insufficient physiological reserve to meet...Patient Safety in Surgery 2019 13:32Safety and efficacy of surgical fixation of fibula fractures using an intramedullary nail: a retrospective observational cohort study in 30 patients
Open reduction and internal fixation remains the standard treatment for displaced unstable ankle fractures. Plate fixation represents the most frequently used instrumentation option in fibula fractures and fav...Patient Safety in Surgery 2019 13:31Clinical outcomes after carbon-plate osteosynthesis in patients with distal radius fractures
Surgical implant material has changed over time, from metal to stainless steel to titanium. In recent decades a new material, carbon-fibre-reinforced polyether ether ketone, has been introduced. The aim of thi...Patient Safety in Surgery 2019 13:30Unintended retention of a ruptured radiopaque thread extending from the corner of a gauze during laparoscopy
Small gauze is used in laparoscopy; therefore, retention of gauze can occur. We experienced a case of retention of a radiopaque thread that ruptured from a piece of gauze and moved into the peritoneum during a...Patient Safety in Surgery 2019 13:29Refining the predictive variables in the “Surgical Risk Preoperative Assessment System” (SURPAS): a descriptive analysis
The Surgical Risk Preoperative Assessment System (SURPAS) is a parsimonious set of models providing accurate preoperative prediction of common adverse outcomes for individual patients. However, focus groups wi...Patient Safety in Surgery 2019 13:28Morbidity and mortality meetings to improve patient safety: a survey of 109 consultant surgeons in London, United Kingdom
Morbidity & Mortality (M&M) meetings are a critical component of clinical governance. They have the potential to improve patient outcomes, quality of care, attitudes towards patient safety and they contribute ...Patient Safety in Surgery 2019 13:27The prevalence and root causes of surgical site infections in public versus private hospitals in Ethiopia: a retrospective observational cohort study
Healthcare-associated illnesses, of which surgical site infection is the most common are significant causes of morbidity and mortality. Therefore, this study aimed to determine the prevalence and root causes o...Patient Safety in Surgery 2019 13:26Technical limitations of REBOA in a patient with exsanguinating pelvic crush trauma: a case report
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an effective adjunct in hemodynamic unstable patients with uncontrolled and non-compressible torso hemorrhage promoting temporary stability ...Patient Safety in Surgery 2019 13:25Lack of informed consent for surgical procedures by elderly patients with inability to consent: a retrospective chart review from an academic medical center in Norway
Respect for patient autonomy and the requirement of informed consent is an essential basic patient right. It is constituted through international conventions and implemented in health law in Norway and most ot...Patient Safety in Surgery 2019 13:24Variability in the timeliness of interventional radiology availability for angioembolization of hemodynamically unstable pelvic fractures: a prospective survey among U.S. level I trauma centers
Patients with hemodynamically unstable pelvic fractures have high mortality due to delayed hemorrhage control. We hypothesized that the availability of interventional radiology (IR) for angioembolization may v...Patient Safety in Surgery 2019 13:23Reducing routine laboratory tests in patients with isolated extremity fractures: a prospective safety and feasibility study in 246 patients
Daily routine laboratory testing is unnecessary in most admitted patients. The opportunity to reduce daily laboratory testing in orthopaedic trauma patients has not been previously investigated.Patient Safety in Surgery 2019 13:22Extravasation of fluid in arthroscopic shoulder surgery requiring prolonged intubation: a case report
Shoulder arthroscopy is a safe and effective procedure with a low complication rate. Although rare, there are potentially life-threatening risks such as fluid extravasation causing airway compromise.Patient Safety in Surgery 2019 13:21Impact of the surgical modality for axillary lymph node dissection on postoperative drainage and seroma formation after total mastectomy
The most common complications after total mastectomy with axillary lymph node treatment are prolonged drainage and seroma formation. The aim of this study was to find factors correlated with prolonged fluid di...Patient Safety in Surgery 2019 13:20The Boston technique for acute point-of-care single-practitioner fracture stabilization of the lower extremity
Closed reduction with long leg casting is a widely practiced method of acute management of lower extremity fractures but may be cumbersome and time consuming. To our knowledge, only one method of single practi...Patient Safety in Surgery 2019 13:19Preoperative anxiety among adult patients undergoing elective surgery: a prospective survey at a general hospital in Ethiopia
Major life changes are among factors that cause anxiety, and one of these changes is surgery. Hospitalization, regardless of disease, is known to provoke anxiety in the patient admitted for surgery. Anxiety is...Patient Safety in Surgery 2019 13:18Surgical management of intramuscular hemangioma of the foot: a case report
Hemangiomas are benign tumors usually found in the lower extremity yet their surgical management on the location in the foot is rarely documented.Patient Safety in Surgery 2019 13:17Outcomes after surgical treatment of acetabular fractures: a review
Acetabular fractures are fractures that extend into the hip joint and pose a challenge for orthopaedic trauma surgeons. The first known descriptions of surgical fixation of acetabular fractures were case repor...Patient Safety in Surgery 2019 13:16Breast cancer involvement of the nipple-areola complex and implications for nipple-sparing mastectomies: a retrospective observational study in 137 patients
Nipple-sparing mastectomy (NSM) has gained much attention by enhancing the aesthetic outcome in breast carcinoma patients. The aim of this study was to assess the prevalence of malignant affection of the nippl...Patient Safety in Surgery 2019 13:15Adherence to the WHO surgical safety checklist: an observational study in a Swiss academic center
The World Health Organization (WHO) Surgical Safety Checklist is used globally to ensure patient safety during surgery. Two years after its implementation in the University Hospital Basel’s operating rooms, ad...Patient Safety in Surgery 2019 13:14Correlation of radiographic variables to guide safe implant positioning during acetabular surgery and hip replacement: a retrospective observational study
Knowledge of periacetabular anatomy is crucial for prosthetic cup placement in total hip arthroplasty and for screw placement in anterior fixation with acetabular fractures. It is known that degree of hip dysp...Patient Safety in Surgery 2019 13:13Inter-observer reliability of alternative diagnostic methods for proximal humerus fractures: a comparison between attending surgeons and orthopedic residents in training
Proximal humerus fractures are frequent, and several studies show low diagnostic agreement among the observers, as well as an inaccurate classification of these lesions. The divergences are generally correlate...Patient Safety in Surgery 2019 13:12Adherence to preoperative hand hygiene and sterile gowning technique among consultant surgeons, surgical residents, and nurses: a pilot study at an academic medical center in Indonesia
Healthcare-associated infections (HAI) is a major problem for patient safety and surgical site infection (SSI) is a type of HAI and the most common form of infection related to surgical health care. Transmissi...Patient Safety in Surgery 2019 13:11Incidence, root causes, and outcomes of surgical site infections in a tertiary care hospital in Rwanda: a prospective observational cohort study
Surgical Site Infections (SSI) are the most reported health acquired infection and common surgical complication in both developed and developing countries. In developing countries such as Rwanda, there is a pa...Patient Safety in Surgery 2019 13:10Unusual anatomic variant of the axillary nerve challenging the deltopectoral approach to the shoulder: a case report
The deltopectoral approach is a well-described surgical approach to the proximal humerus and glenohumeral joint. One of the structures at risk during this approach is the axillary nerve. Typically, the axillar...Patient Safety in Surgery 2019 13:9Does the time of day in orthopedic trauma surgery affect mortality and complication rates?
Orthopedic trauma surgery has multiple, both patient-based and surgeon-based risk factors. Evaluating and modifying certain patient safety factors could mitigate some of these risks. This study investigates th...Patient Safety in Surgery 2019 13:8Risk factors for complications and adverse outcomes in polytrauma patients with associated upper extremity injuries
In terms of upper extremity fractures by patients with multiple injuires, a lot of studies have assessed the functional outcome following trauma to have less favorable outcomes in regards to functional recover...Patient Safety in Surgery 2019 13:7Artificial intelligence systems for complex decision-making in acute care medicine: a review
The integration of artificial intelligence (AI) into acute care brings a new source of intellectual thought to the bedside. This offers great potential for synergy between AI systems and the human intellect al...Patient Safety in Surgery 2019 13:6- Patient Safety in Surgery 2019 13:5
Cognition errors in the treatment course of patients with anastomotic failure after colorectal resection
Cognitive errors have a considerable effect on procedural outcome. They play a major role in situational judgement and decision making, especially during cognitively demanding tasks. As such they need to be co...Patient Safety in Surgery 2019 13:4Variability in pelvic packing practices for hemodynamically unstable pelvic fractures at US level 1 trauma centers
Mortality from hemodynamically unstable pelvic fractures remains high. Guidelines offer varying care approaches including the use of pelvic packing (PP), which was recently adopted for potential control of ble...Patient Safety in Surgery 2019 13:3The role of indocyanine green fluoroscopy for intraoperative bile duct visualization during laparoscopic cholecystectomy: an observational cohort study in 70 patients
Bile duct injury is the most feared complication during laparoscopic cholecystectomy. Real-time intraoperative imaging using indocyanine green (ICG) might reduce the risk of bile duct injury by improving visua...Patient Safety in Surgery 2019 13:2Low-grade infections as a possible cause of arthrofibrosis after total knee arthroplasty
Arthrofibrosis after total knee arthroplasty represents a considerable burden for the patient and a therapeutic challenge for the practitioner. One possible cause discussed in the literature is a low-grade inf...Patient Safety in Surgery 2019 13:1Does time of surgery influence the rate of false-negative appendectomies? A retrospective observational study of 274 patients
Multiple disciplines have described an “after-hours effect” relating to worsened mortality and morbidity outside regular working hours. This retrospective observational study aimed to evaluate whether diagnost...Patient Safety in Surgery 2018 12:33Safety of selective nonoperative management for blunt splenic trauma: the impact of concomitant injuries
Nonoperative management for blunt splenic injury is the preferred treatment. To improve the outcome of selective nonoperative therapy, the current challenge is to identify factors that predict failure. Little ...Patient Safety in Surgery 2018 12:32Safety and efficacy of a two-screw cephalomedullary nail for intertrochanteric femur fracture fixation: a retrospective case series in 264 patients
Recent advances have led to the design of a new cephalomedullary nail, which aims to decrease the risk of failures in patients with intertrochanteric hip fractures by allowing for insertion of two interdigitat...Patient Safety in Surgery 2018 12:31Dexamethasone and postoperative hyperglycemia in diabetics undergoing elective hip or knee arthroplasty: a case control study in 238 patients
Dexamethasone has been routinely used in the pre-operative setting to enhance analgesia and decrease the incidence of nausea and vomiting in patients undergoing primary arthroplasty. However, dexamethasone has...Patient Safety in Surgery 2018 12:30Predictors of femoral shortening for pediatric developmental hip dysplasia surgery: an observational study in 435 patients
Open reduction of the congenitally dislocated hip may not be possible without femoral shortening. The goal of this study is to develop a prognostic prediction model for the need of femoral shortening in childr...Patient Safety in Surgery 2018 12:29
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