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01-08-2009 | Original Article

Risk management in pediatric surgery

Authors: Girolamo Mattioli, Stefano Avanzini, Alessio Pini-Prato, Piero Buffa, Edoardo Guida, Giovanni Rapuzzi, Michele Torre, Valentina Rossi, Giovanni Montobbio, Ubaldo Rosati, Vincenzo Jasonni

Published in: Pediatric Surgery International | Issue 8/2009

Abstract

Purpose

To present the experience documented over 1 year of analysis and quality control on surgical complications and organizational accidents.

Methods

All children admitted during the study period at our Institution were included in the analysis, which consisted of four phases: (1) definition and standardization of perioperative diagnostic and therapeutic tracks; (2) staff education; (3) documentation and data implementation, and (4) “Morbidity and Mortality” audit.

Results

Over a 1-year study period, 3,116 children were admitted to our Institution: 2,222 out of 3,116 (71.3%) children underwent a surgical procedure. A total number of 184 complications were recorded in 149 patients. One hundred and seventy-one (92.9%) complications occurred following a surgical procedure. Fifty-six out of 149 complicated patients (37.6%) required a re-operation. Thirty-five out of 184 (19%) complications were classified as organizational. Infection represented the most common complication. All cases of anastomotic dehiscence and perforation, bowel obstruction, and stoma malfunction required reintervention. None of the postoperative bleedings required a second surgical procedure.

Conclusion

Although a proper statistical comparison with literature complication rates is not feasible, our experience confirms the importance of quality-control audit in health care systems. Prolonged observation, long-term follow up, and comparison with previous results will represent our future goal.

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Title: Risk management in pediatric surgery
Authors: Girolamo Mattioli
Stefano Avanzini
Alessio Pini-Prato
Piero Buffa
Edoardo Guida
Giovanni Rapuzzi
Michele Torre
Valentina Rossi
Giovanni Montobbio
Ubaldo Rosati
Vincenzo Jasonni
Publication date: 01-08-2009
Publisher: Springer-Verlag
Published in: Pediatric Surgery International / Issue 8/2009
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-009-2407-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Risk management in pediatric surgery

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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