Incidence and type of complications in non-operated patients at a surgical ward.

Patient Safety in Surgery
Eelco J VeenJan A Roukema

Abstract

This study was designed to analyze a group of non-operated patients admitted to our surgical ward for incidence and type of documented complication. We classified and categorised these complications according to the definition of the Association of Surgeons of the Netherlands (ASN). Our main interest was to identify adverse events for non-operated patients that are caused by medical management and thus preventable. Complications were prospectively collected in our registry, which is part of an electronic medical patient file, and in retrospective analysed. All non-operated patients admitted to our surgical ward between January 2003 and January 2006 have been analysed for type and incidence of complications. We recorded 437 complications in 364 (8%) of 4602 non-operated patients and we categorised 196 (45%) of these events in the Hospital - Provider group. In this last category 161 (82%) events were related to medical management and appeared to be preventable. Numerous different types of complications were recorded (n = 69) among the 437 events. Of all the complications, 75 (17%) were found to be a negative effect/failure of therapy. The incidence of complications in non-operated patients at our surgical ward was 8%, with a grea...Continue Reading

References

Mar 7, 2001·BMJ : British Medical Journal·C VincentM Woloshynowych
Nov 15, 2002·The New England Journal of Medicine·Lucian L Leape
Mar 15, 2003·The New England Journal of Medicine·Charles Vincent
Oct 3, 2003·Journal of the American College of Surgeons·Wouter J VlesLoek P H Leenen
Dec 4, 2003·Quality & Safety in Health Care·K Henriksen, H Kaplan
Mar 17, 2004·Annals of Surgery·Charles VincentAra W Darzi
Jul 1, 2004·The British Journal of Surgery·D C Carter
Feb 8, 2005·World Journal of Surgery·Eelco J VeenJan A Roukema
Sep 19, 2007·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Perla J Marang-van de MheenJob Kievit
Jun 4, 2008·Quality & Safety in Health Care·E N de VriesM A Boermeester

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Citations

Apr 12, 2011·The American Journal of Bioethics : AJOB·Sarah J L Edwards
Jul 16, 2013·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·P D GobardhanE J Veen

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Methods Mentioned

BETA
Percutaneous Transluminal Angioplasty
dissection

Software Mentioned

Statistical Package for the Social Sciences ( SPSS

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