Key result
Process failures in postoperative care were common, with 256 failures identified across 50 patients, of which 85% were preventable and 51% directly led to patient harm.
Observational (n=50)
Process failures in postoperative care are common, highly preventable, and frequently cause patient harm, highlighting the need for interventions to improve surgical care reliability.
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May warrant quality improvement targeting postoperative processes; leaves open whether interventions reduce harm.
Symons et al. (2012) conducted an observational in major elective general surgery (n=50). Process failures in postoperative care was evaluated on Frequency, preventability, and harm of process failures. Process failures in postoperative care were common, with 256 failures identified across 50 patients, of which 85% were preventable and 51% directly led to patient harm.
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