Why the study?
What is the incidence and trend of adverse operative events during early neurosurgical training?
What is the incidence and trend of adverse operative events during early neurosurgical training?
Adverse operative events in early neurosurgical practice occur in specific operation categories and their incidence may decrease over time with experience and assistance.
Adverse events during early neurosurgical training occur at low procedure-specific rates that may decline with experience; leaves open prospective validation of training interventions.
We prospectively studied the adverse operative events encountered during the first 4.5 years of a single neurosurgeon's career (JP). We investigated the incidence of these events and their distribution over time, and recorded risk factors in causation. Twenty-three adverse events were identified in 728 cases studied. These all occurred in one of four categories of operation: craniotomy, shunt placement, spinal surgery and stereotactic biopsy. The incidence of adverse operative events varied between 5.8% for spinal operations to 9.5% for stereotactic biopsy. There was evidence of a reducing incidence of adverse operative events over time in some operative groups. The two categories with the highest incidence of adverse operative events were the same two categories with the lowest number of assisted cases per 100 operations performed.
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R. D. Hayward J. R. Pollock (2001) studied this question.
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