Key result
An excellent overall safety rating from nurses was associated with significantly lower rates of serious complications after bariatric surgery compared to an acceptable rating (1.5% vs 4.6%, P<0.0001).
Why the study?
Does a better safety culture reduce complications within 30 days of bariatric surgery?
Population
24,117 bariatric surgery patients between 2007 and 2010, and staff from 22 Michigan hospitals
Comparison
Higher safety culture ratings (excellent) vs Lower safety culture ratings
Design
Cohort
Follow-up
30 days
Authors
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Safety culture may relate to bariatric complications; leaves open whether targeted interventions reduce events.
Observational (n=24,117)
Yes
Does a better safety culture reduce complications within 30 days of bariatric surgery?
Absolute Event Rate: 1.5% vs 4.6%
p-value: p=<0.0001
Better safety culture, particularly as rated by nurses and surgeons, is associated with significantly lower rates of serious complications following bariatric surgery.
Birkmeyer et al. (2012) conducted an observational in Bariatric surgery (n=24,117). Excellent hospital safety culture rating vs. Acceptable or very good safety culture rating was evaluated on Serious complications within 30 days of bariatric surgery (p=<0.0001). An excellent overall safety rating from nurses was associated with significantly lower rates of serious complications after bariatric surgery compared to an acceptable rating (1.5% vs 4.6%, P<0.0001).
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