PMID- 28665834
OWN - NLM
STAT- MEDLINE
DCOM- 20210219
LR  - 20220129
IS  - 1549-8425 (Electronic)
IS  - 1549-8417 (Linking)
VI  - 16
IP  - 4
DP  - 2020 Dec
TI  - A Prospective Assessment of Adverse Events in 3 Digestive Surgery Departments 
      From Central Tunisia.
PG  - 299-303
LID - 10.1097/PTS.0000000000000401 [doi]
AB  - OBJECTIVE: The aim of the study was to prospectively assess the incidence, the 
      preventability, and the factors contributing to adverse events (AEs) in surgical 
      departments of Tunisian hospitals. METHODS: A prospective longitudinal study 
      evaluated the incidence of AEs in surgical departments of three university 
      hospitals in central Tunisia. The study followed 1687 admitted patients until 
      their discharge from the hospitals based on a standard two-stage method that 
      first included staff interviews and review of medical records based on 18 
      criteria and later was followed by an expert review to confirm or reject the 
      presence of an AE. RESULTS: The overall incidence of AEs was 18.1% (95% 
      confidence interval = 16.26-19.94), with an incidence density of 21.6 events per 
      1000 patient-days. The most frequent AEs were those related to operative 
      procedures (34.9%) and to hospital-acquired infections (30.3%).The multivariate 
      analysis shows that the proportion of AEs increased significantly with intrinsic 
      risk factors (odds ratio [OR] = 2.51, P < 0.001), extrinsic risk factors (OR = 
      1.38, P = 0.02), length of stay of greater than 7 days (OR = 2.27, P < 0.001), 
      and unplanned admissions (OR = 2.59, P < 0.01). Overall, the major consequences 
      of suffering an AE were that 90% had a prolonged hospital stay, 6% had a 
      permanent disability, and 4% encountered death. More than 60% of the identified 
      AEs were considered to be preventable. CONCLUSIONS: Surgical AEs have a 
      significant impact on patient outcomes in terms of length of stay, disability, 
      and mortality, and a considerable proportion of them are preventable. Prospective 
      studies provide better insight regarding AEs under circumstances where hospital 
      records are not optimal. Patient safety programs led by qualified health 
      professionals can reduce patient harm in surgical departments of hospitals in 
      most situations.
FAU - Letaief, Mondher
AU  - Letaief M
AD  - From the Department of Community Health, Faculty of Medicine of Monastir, 
      University of Monastir.
FAU - El Mhamdi, Sana
AU  - El Mhamdi S
AD  - Faculty of Medicine, University of Monastir, University Hospital of Monastir, 
      Monastir.
FAU - Siddiqi, Sameen
AU  - Siddiqi S
AD  - The Regional Office of the World Health Organization.
FAU - Letaief, Rached
AU  - Letaief R
AD  - Department of Surgery, University Hospital Farhat Hached Sousse, Sousse.
FAU - Morjane, Abdelwaheb
AU  - Morjane A
AD  - Department of Surgery, Regional Hospital of Kairouan, Kairouan.
FAU - Hamdi, Abdelaziz
AU  - Hamdi A
AD  - Department of Surgery, University Hospital of Monastir, Monastir, Tunisia.
LA  - eng
GR  - 001/WHO_/World Health Organization/International
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - J Patient Saf
JT  - Journal of patient safety
JID - 101233393
SB  - IM
MH  - Female
MH  - Humans
MH  - Incidence
MH  - Longitudinal Studies
MH  - Male
MH  - Medical Errors
MH  - Middle Aged
MH  - Prospective Studies
MH  - Risk Factors
MH  - Surgery Department, Hospital/*standards
MH  - Tunisia
EDAT- 2017/07/01 06:00
MHDA- 2021/02/20 06:00
CRDT- 2017/07/01 06:00
PHST- 2017/07/01 06:00 [pubmed]
PHST- 2021/02/20 06:00 [medline]
PHST- 2017/07/01 06:00 [entrez]
AID - 01209203-202012000-00012 [pii]
AID - 10.1097/PTS.0000000000000401 [doi]
PST - ppublish
SO  - J Patient Saf. 2020 Dec;16(4):299-303. doi: 10.1097/PTS.0000000000000401.