November 10, 2020World Journal of Surgery

Preventable Morbidity and Mortality Among Non‐trauma Emergency Surgery Patients: The Role of Personal Performance and System Flaws in Adverse Events

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Why the study?

Preventable morbidity and mortality among emergency surgery patients is not adequately analyzed.

Structured PICO

Population

150 patients with emergency, non-trauma, surgical disease admitted between September 1, 2006, and August 31, 2018, and recorded to have a preventable or potentially preventable morbidity and mortality (127 complications and 23 deaths).

Outcome

Classification of the complications and deaths by a panel of experts, as attributable to issues of personal performance or system deficiencies

Among non-trauma emergency surgery patients, preventable complications and deaths are overwhelmingly attributed to personal performance issues rather than system flaws.

Discussion

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Implication

Personal performance issues predominate in preventable events; extends error classification but leaves open generalizability to broader practice.

Cite This Study

Velmahos et al. (2020) studied this question.

synapsesocial.com/papers/6a757d6301b447f0dadc2bda https://doi.org/10.1007/s00268-020-05858-8

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Implication

Personal performance issues predominate in preventable events; extends error classification but leaves open generalizability to broader practice.

Preventable Morbidity and Mortality Among Non‐trauma Emergency Surgery Patients: The Role of Personal Performance and System Flaws in Adverse Events

Structured PICO

Discussion

Implication

Cite This Study

Preventable Morbidity and Mortality Among Non‐trauma Emergency Surgery Patients: The Role of Personal Performance and System Flaws in Adverse Events

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Also Consider