Top

Published in:

01-01-2009 | 2008 ssat other

Learning from Adverse Events and Near Misses

Author: Caprice C. Greenberg

Published in: Journal of Gastrointestinal Surgery | Issue 1/2009

Excerpt

Patient safety has received increasing attention since the Institute of Medicine (IOM) published To Err is Human suggesting that 3–4% of hospitalized patients will experience an adverse event. In looking closer at the etiology of these events, it is obvious that, as surgeons, we can play a major role in improving patient safety. Over half of all medical adverse events are surgical in nature and 75% of these occur in the operating room (OR). It therefore seems that the greatest improvements in patient safety will be achieved by targeting the OR for safety research and intervention. …

Rogers SO, Gawande AA, Kwaan M, et al. Analysis of surgical errors in closed malpractice claims at 4 liability insurers. Surgery 2006;140(1):25–33. doi:10.1016/j.surg.2006.01.008.PubMedCrossRef

Wong DR, Vander Salm TJ, Ali IS, et al. Prospective assessment of intraoperative precursor events during cardiac surgery. Eur J Cardiothorac Surg 2006;29:447–455. doi:10.1016/j.ejcts.2006.01.001.PubMedCrossRef

Oken A, Rasmussen M, Slagle J, et al. A facilitated survey instrument captures significantly more anesthesia events than does traditional voluntary event reporting. Anesthesiology 2007;107(6):909–922.PubMedCrossRef

de Leval MR, Carthey J, Wright DJ, Farewell VT, Reason JT. Human factors and cardiac surgery: a multicenter study. J Thorac Cardiovasc Surg 2000;119(4 Pt 1):661–672. doi:10.1016/S0022-5223(00)70006-7.PubMed

Christian CK, Gustafson ML, Roth EM, et al. A prospective study of patient safety in the operating room. Surgery 2006;139(2):159–173. doi:10.1016/j.surg.2005.07.037.PubMedCrossRef

Title: Learning from Adverse Events and Near Misses
Author: Caprice C. Greenberg
Publication date: 01-01-2009
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 1/2009
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-008-0693-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Learning from Adverse Events and Near Misses

Excerpt

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Excerpt

Please log in to get access to this content

Other articles of this Issue 1/2009

Recurrent Symptoms after Fundoplication with a Negative pH Study—Recurrent Reflux or Functional Heartburn?

Efficacy of the Electrothermal Bipolar Vessel Sealer in Laparoscopic Spleen-Preserving Distal Pancreatectomy with Conservation of the Splenic Artery and Vein

Predicting Strangulated Small Bowel Obstruction: An Old Problem Revisited

The Spectrum of Abdominal Tuberculosis in a Developed Country: A Single Institution’s Experience Over 7 Years

Giant Trichobezoar and Gastric Perforation in a Normal Healthy Woman

Health-Related Quality of Life after Colonic Resection for Diverticular Disease: Long-term Results