PMID- 23642651
OWN - NLM
STAT- MEDLINE
DCOM- 20130923
LR  - 20220408
IS  - 1879-1883 (Electronic)
IS  - 0002-9610 (Linking)
VI  - 206
IP  - 2
DP  - 2013 Aug
TI  - Surgical adverse events: a systematic review.
PG  - 253-62
LID - S0002-9610(13)00175-X [pii]
LID - 10.1016/j.amjsurg.2012.11.009 [doi]
AB  - BACKGROUND: The aim of this systematic review is to quantify potentially 
      preventable patient harm from the frequency, severity, and preventability of the 
      consequences and causes of surgical adverse events to help target patient safety 
      improvement efforts. DATA SOURCES: Two authors independently reviewed articles 
      retrieved from systematic searches of the Cochrane library, MEDLINE, Embase, 
      PsycINFO, and Cumulative Index to Nursing & Allied Health Literature databases 
      for inclusion and exclusion criteria, methodology, and end points. All 
      retrospective record review studies of adverse events were included. The primary 
      end point was the frequency of general surgery adverse events. The secondary end 
      points were the severity and preventability of consequences and causes. 
      CONCLUSIONS: Fourteen record review studies incorporating 16,424 surgical 
      patients were included. Adverse events occurred in 14.4% of patients 
      (interquartile range [IQR], 12.5% to 20.1%), and potentially preventable adverse 
      events occurred in 5.2% (IQR, 4.2% to 7.0%). The consequences of 3.6% of adverse 
      events (IQR, 3.1% to 4.4%) were fatal, those of 10.4% (IQR, 8.5% to 12.3%) were 
      severe, those of 34.2% (IQR, 29.2% to 39.2%) were moderate, and those of 52.5% 
      (IQR, 49.8% to 55.3%) were minor. Errors in nonoperative management caused more 
      frequent adverse events than errors in surgical technique.
CI  - Copyright (c) 2013 Elsevier Inc. All rights reserved.
FAU - Anderson, Oliver
AU  - Anderson O
AD  - Clinical Safety Research Unit, Centre for Patient Safety and Service Quality, 
      Imperial College London, London, UK. o.anderson@imperial.ac.uk
FAU - Davis, Rachel
AU  - Davis R
FAU - Hanna, George B
AU  - Hanna GB
FAU - Vincent, Charles A
AU  - Vincent CA
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Review
PT  - Systematic Review
DEP - 20130501
PL  - United States
TA  - Am J Surg
JT  - American journal of surgery
JID - 0370473
SB  - IM
MH  - Humans
MH  - Incidence
MH  - *Patient Safety
MH  - Postoperative Complications/*epidemiology/etiology/*prevention & control
MH  - Retrospective Studies
MH  - Severity of Illness Index
MH  - Surgical Procedures, Operative/*adverse effects
OTO - NOTNLM
OT  - Iatrogenic disease
OT  - Medical error
OT  - Morbidity
OT  - Operative/ae [adverse effects]
OT  - Postoperative complications
EDAT- 2013/05/07 06:00
MHDA- 2013/09/24 06:00
CRDT- 2013/05/07 06:00
PHST- 2012/02/14 00:00 [received]
PHST- 2012/10/25 00:00 [revised]
PHST- 2012/11/05 00:00 [accepted]
PHST- 2013/05/07 06:00 [entrez]
PHST- 2013/05/07 06:00 [pubmed]
PHST- 2013/09/24 06:00 [medline]
AID - S0002-9610(13)00175-X [pii]
AID - 10.1016/j.amjsurg.2012.11.009 [doi]
PST - ppublish
SO  - Am J Surg. 2013 Aug;206(2):253-62. doi: 10.1016/j.amjsurg.2012.11.009. Epub 2013 
      May 1.