Reiner Wirbel1, Ahmad Yacoub, Marius Dehne. 1. Surgery II: Trauma, Hand, and Reconstructive Surgery, Verbundkranhenhause Bernkastel-Wittlich, Wittlich, Germany, reiner.wirbel@web.de.
Abstract
PURPOSE: The frequency, type and consequences of errors in orthopaedic and trauma surgery procedures should be analysed. METHODS: In a level II trauma centre, errors and intraoperative complications were prospectively recorded concerning type, severity, preventability and consequences. The error-related time delay was also noted. RESULTS: In 2012, 984 operative cases could be evaluated over six months: 744 elective and 240 emergency procedures. A total 107 errors (10.8%) in 72 procedures were recorded. There were 78 nonmedical/organisational, nine medical and 20 combined errors. Clinical consequences were seen in 1% of errors. The error rate was higher in emergency procedures. Time delays were involved in two thirds of the errors (on average 8.5 minutes). CONCLUSION: Typical patient- and procedure-related errors can be detected by consequent documentation and analysis. It may help to develop sufficient strategies of error prevention. Because of the often-seen time delay, error prevention may help save time and costs.
PURPOSE: The frequency, type and consequences of errors in orthopaedic and trauma surgery procedures should be analysed. METHODS: In a level II trauma centre, errors and intraoperative complications were prospectively recorded concerning type, severity, preventability and consequences. The error-related time delay was also noted. RESULTS: In 2012, 984 operative cases could be evaluated over six months: 744 elective and 240 emergency procedures. A total 107 errors (10.8%) in 72 procedures were recorded. There were 78 nonmedical/organisational, nine medical and 20 combined errors. Clinical consequences were seen in 1% of errors. The error rate was higher in emergency procedures. Time delays were involved in two thirds of the errors (on average 8.5 minutes). CONCLUSION: Typical patient- and procedure-related errors can be detected by consequent documentation and analysis. It may help to develop sufficient strategies of error prevention. Because of the often-seen time delay, error prevention may help save time and costs.
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