Key result
Analysis of 2,563 voluntarily reported perioperative incidents revealed that 34% were associated with non-compliance with Standard Operating Procedures, primarily due to human failure.
Population
2,563 voluntarily reported perioperative incidents during 67,360 operations at a Dutch university hospital.
Design
Cohort
Follow-up
3 years (July 2009 to July 2012)
Authors
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Supports focus on human factors and SOP compliance in surgery; hypothesis-generating for targeted interventions pending prospective studies.
Observational (n=2,563)
No
Analysis of voluntarily reported perioperative incidents highlights that human failure, particularly non-compliance with standard operating procedures and communication shortcomings, is a major contributor to patient safety problems.
Heideveld-Chevalking et al. (2014) conducted an observational in Perioperative incidents (n=2,563). Perioperative incident reporting was evaluated on Number, nature, and causes of voluntarily reported perioperative incidents. Analysis of 2,563 voluntarily reported perioperative incidents revealed that 34% were associated with non-compliance with Standard Operating Procedures, primarily due to human failure.
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