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Open Access 01-12-2024 | Research

Intraoperative adverse events among surgeons in Singapore: a multicentre cross-sectional study on impact and support

Authors: Clyve Yu Leon Yaow, Qin Xiang Ng, Ryan Ian Houe Chong, Clarence Ong, Nicolette Zy-Yin Chong, Nicole Li Xian Yap, Ashley Shuen Ying Hong, Benita Kiat Tee Tan, Amos Hong Pheng Loh, Andrew Siang Yih Wong, Hiang Khoon Tan

Published in: BMC Health Services Research | Issue 1/2024

Abstract

Background

It is known that many surgeons encounter intraoperative adverse events which can result in Second Victim Syndrome (SVS), with significant detriment to their emotional and physical health. There is, however, a paucity of Asian studies in this space. The present study thus aimed to explore the degree to which the experience of an adverse event is common among surgeons in Singapore, as well as its impact, and factors affecting their responses and perceived support systems.

Methods

A self-administered survey was sent to surgeons at four large tertiary hospitals. The 42-item questionnaire used a systematic closed and open approach, to assess: Personal experience with intraoperative adverse events, emotional, psychological and physical impact of these events and perceived support systems.

Results

The response rate was 57.5% (n = 196). Most respondents were male (54.8%), between 35 and 44 years old, and holding the senior consultant position. In the past 12 months alone, 68.9% recalled an adverse event. The emotional impact was significant, including sadness (63.1%), guilt (53.1%) and anxiety (45.4%). Speaking to colleagues was the most helpful support source (66.7%) and almost all surgeons did not receive counselling (93.3%), with the majority deeming it unnecessary (72.2%). Notably, 68.1% of the surgeons had positive takeaways, gaining new insight and improving vigilance towards errors. Both gender and surgeon experience did not affect the likelihood of errors and emotional impact, but more experienced surgeons were less likely to have positive takeaways (p = 0.035). Individuals may become advocates for patient safety, while simultaneously championing the cause of psychological support for others.

Conclusions

Intraoperative adverse events are prevalent and its emotional impact is significant, regardless of the surgeon’s experience or gender. While colleagues and peer discussions are a pillar of support, healthcare institutions should do more to address the impact and ensuing consequences.

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Title: Intraoperative adverse events among surgeons in Singapore: a multicentre cross-sectional study on impact and support
Authors: Clyve Yu Leon Yaow
Qin Xiang Ng
Ryan Ian Houe Chong
Clarence Ong
Nicolette Zy-Yin Chong
Nicole Li Xian Yap
Ashley Shuen Ying Hong
Benita Kiat Tee Tan
Amos Hong Pheng Loh
Andrew Siang Yih Wong
Hiang Khoon Tan
Publication date: 01-12-2024
Publisher: BioMed Central
Published in: BMC Health Services Research / Issue 1/2024
Electronic ISSN: 1472-6963
DOI: https://doi.org/10.1186/s12913-024-10998-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Intraoperative adverse events among surgeons in Singapore: a multicentre cross-sectional study on impact and support

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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