OBJECTIVE: To document the incidence and outcome of complications in the department of surgery. DESIGN: Retrospective study. SETTING: District hospital, The Netherlands. SUBJECTS: 7455 patients operated on between 1 January 1993 and 31 December 1995. MAIN OUTCOME MEASURES: Documentation and outcome of complications (defined as "every unwanted development in the illness of the patient or in the treatment of the patient's illness that occurs in the clinic"). RESULTS: 1078 complications were recorded after 8130 operations (13%), 337 (33%) of which had no long term effects. 175/1078 (16%) required reoperation, and in 134 of these (77%) an error in management or surgical technique was responsible for the complication. 6 patients were irreversibly harmed and of the 141 patients who died, 11 had evidence of some sort of error. CONCLUSIONS: Audit of complications is necessary to improve practice in a surgical department, and weekly morbidity and mortality meetings are a good opportunity for learning about them.
OBJECTIVE: To document the incidence and outcome of complications in the department of surgery. DESIGN: Retrospective study. SETTING: District hospital, The Netherlands. SUBJECTS: 7455 patients operated on between 1 January 1993 and 31 December 1995. MAIN OUTCOME MEASURES: Documentation and outcome of complications (defined as "every unwanted development in the illness of the patient or in the treatment of the patient's illness that occurs in the clinic"). RESULTS: 1078 complications were recorded after 8130 operations (13%), 337 (33%) of which had no long term effects. 175/1078 (16%) required reoperation, and in 134 of these (77%) an error in management or surgical technique was responsible for the complication. 6 patients were irreversibly harmed and of the 141 patients who died, 11 had evidence of some sort of error. CONCLUSIONS: Audit of complications is necessary to improve practice in a surgical department, and weekly morbidity and mortality meetings are a good opportunity for learning about them.
Authors: M P Radosa; G Meyberg-Solomayer; J Radosa; J Vorwergk; K Oettler; A Mothes; S Baum; I Juhasz-Boess; E Petri; E F Solomayer; I B Runnebaum Journal: Geburtshilfe Frauenheilkd Date: 2014-08 Impact factor: 2.915
Authors: Vivian E Strong; Luke V Selby; Mindy Sovel; Joseph J Disa; William Hoskins; Ronald Dematteo; Peter Scardino; David P Jaques Journal: Ann Surg Oncol Date: 2014-10-16 Impact factor: 5.344
Authors: Pere Rebasa; Laura Mora; Alexis Luna; Sandra Montmany; Helena Vallverdú; Salvador Navarro Journal: World J Surg Date: 2009-02 Impact factor: 3.352
Authors: Boudewijn R Toorenvliet; Rutger F R Bakker; Hans C Flu; Jos W S Merkus; Jaap F Hamming; Paul J Breslau Journal: World J Surg Date: 2010-03 Impact factor: 3.352