What does this research mean for the field?

Complementing traditional legal assessments of malpractice with a patient safety-oriented framework that integrates transparent reporting, multidisciplinary learning, and adaptive surgical expertise improves neurosurgical safety culture and helps prevent future patient harm. Novelty: ClaimNovelty.METHODOLOGICAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To propose a patient safety-oriented framework for evaluating harmful neurosurgical events and system vulnerabilities using the Swiss healthcare system as an illustrative model.

August 30, 2026Journal of Patient Safety and Risk Management

From malpractice to patient safety: A framework for analysing harmful events, system vulnerabilities, and adaptive surgical expertise in neurosurgery – A Swiss perspective

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Authors

GHGerhard Hildebrandt

Discussion

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Overview

Perspective piece proposes a patient safety framework for neurosurgery, indicating that shifting from legal liability to system learning prevents adverse events.

Key Points

To propose a patient safety-oriented framework for evaluating harmful neurosurgical events and system vulnerabilities using the Swiss healthcare system as an illustrative model.
Conceptual perspective analyzing the limitations of traditional legal and malpractice frameworks in neurosurgery.
Formulation of a three-part model centered on event taxonomy, independent reporting, and adaptive crisis management.
Establishes a three-part framework consisting of a refined incident taxonomy, a legally protected independent reporting platform, and organizational support for adaptive surgical skills.
Qualitatively demonstrates that replacing punitive fault-finding with transparent system learning and intraoperative crisis preparation improves overall neurosurgical safety culture.

Cite This Study

Gerhard Hildebrandt (2026) studied this question.

synapsesocial.com/papers/6a93f0696c1a8fb52e79c85f https://doi.org/10.1177/25160435261481026

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August 30, 2026Journal of Patient Safety and Risk Management

From malpractice to patient safety: A framework for analysing harmful events, system vulnerabilities, and adaptive surgical expertise in neurosurgery – A Swiss perspective

View Full Paper

Ask AI

Bookmark

Authors

GHGerhard Hildebrandt

Discussion

Member takes

Overview

Perspective piece proposes a patient safety framework for neurosurgery, indicating that shifting from legal liability to system learning prevents adverse events.

Key Points

To propose a patient safety-oriented framework for evaluating harmful neurosurgical events and system vulnerabilities using the Swiss healthcare system as an illustrative model.
Conceptual perspective analyzing the limitations of traditional legal and malpractice frameworks in neurosurgery.
Formulation of a three-part model centered on event taxonomy, independent reporting, and adaptive crisis management.
Establishes a three-part framework consisting of a refined incident taxonomy, a legally protected independent reporting platform, and organizational support for adaptive surgical skills.
Qualitatively demonstrates that replacing punitive fault-finding with transparent system learning and intraoperative crisis preparation improves overall neurosurgical safety culture.

Cite This Study

Gerhard Hildebrandt (2026) studied this question.

synapsesocial.com/papers/6a93f0696c1a8fb52e79c85f https://doi.org/10.1177/25160435261481026

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