The Impact of System Factors on Quality and Safety in Arterial Surgery: A Systematic Review

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
R LearC D Bicknell

Abstract

A systems approach to patient safety proposes that a wide range of factors contribute to surgical outcome, yet the impact of team, work environment, and organisational factors, is not fully understood in arterial surgery. The aim of this systematic review is to summarize and discuss what is already known about the impact of system factors on quality and safety in arterial surgery. A systematic review of original research papers in English using MEDLINE, Embase, PsycINFO, and Cochrane databases, was performed according to PRISMA guidelines. Independent reviewers selected papers according to strict inclusion and exclusion criteria, and using predefined data fields, extracted relevant data on team, work environment, and organisational factors, and measures of quality and/or safety, in arterial procedures. Twelve papers met the selection criteria. Study endpoints were not consistent between papers, and most failed to report their clinical significance. A variety of tools were used to measure team skills in five papers; only one paper measured the relationship between team factors and patient outcomes. Two papers reported that equipment failures were common and had a significant impact on operating room efficiency. The influence of ...Continue Reading

Citations

Dec 15, 2020·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Jonathan LawaetzJonas P Eiberg
Jan 5, 2022·The International Journal of Health Planning and Management·Guilherme C AmadoAlexandre M Nunes

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