PMID- 38342137
OWN - NLM
STAT- MEDLINE
DCOM- 20240422
LR  - 20240422
IS  - 2173-5077 (Electronic)
IS  - 2173-5077 (Linking)
VI  - 102
IP  - 4
DP  - 2024 Apr
TI  - Continuous monitoring of adverse effects improves surgical outcomes.
PG  - 209-215
LID - S2173-5077(24)00043-7 [pii]
LID - 10.1016/j.cireng.2023.11.024 [doi]
AB  - BACKGROUND: There has been significant debate about the advantages and 
      disadvantages of using administrative databases or clinical registry in 
      healthcare improvement programs. The aim of this study was to review the 
      implementation and outcomes of an accountability policy through a registry 
      maintained by professionals of the surgical department. MATERIALS AND METHODS: 
      All patients admitted to the department between 2003 and 2022 were prospectively 
      included. All adverse events (AEs) occurring during the admission, convalescent 
      care in facilities, or at home for a minimum period of 30 days after discharge 
      were recorded. RESULTS: Out of 60,125 records, 24,846 AEs were documented in 
      16,802 cases (27.9%). There was a progressive increase in the number of AEs 
      recorded per admission (1.17 in 2003 vs. 1.93 in 2022) with a 26% decrease in 
      entries with AEs (from 35.0% in 2003 to 25.8% in 2022), a 57.5% decrease in 
      reoperations (from 8.0% to 3.4%, respectively), and an 80% decrease in mortality 
      (from 1.8% to 1.0%, respectively). It is noteworthy that a significant reduction 
      in severe AEs was observed between 2011 and 2022 (56% vs. 15.6%). CONCLUSION: A 
      prospective registry of AEs created and maintained by health professionals, along 
      with transparent presentation and discussion of the results, leads to sustained 
      improvement in outcomes in a surgical department of a university hospital.
CI  - Copyright (c) 2024 AEC. Published by Elsevier Espana, S.L.U. All rights reserved.
FAU - Grande, Luis
AU  - Grande L
AD  - Servicio de Cirugia General, Hospital del Mar, Barcelona, Spain; Instituto 
      Hospital del Mar de Investigaciones Medicas (IMIM), Barcelona, Spain; Departmento 
      de Cirugia, Universitat Autonoma de Barcelona, Bellaterra (Barcelona), Spain. 
      Electronic address: luis.grande@uab.cat.
FAU - Gimeno, Marta
AU  - Gimeno M
AD  - Servicio de Cirugia General, Hospital del Mar, Barcelona, Spain; Instituto 
      Hospital del Mar de Investigaciones Medicas (IMIM), Barcelona, Spain.
FAU - Jimeno, Jaime
AU  - Jimeno J
AD  - Servicio de Cirugia General, Hospital del Mar, Barcelona, Spain; Servicio de 
      Cirugia General, Hospital Universitario Marques de Valdecilla, Santander, Spain.
FAU - Pera, Manuel
AU  - Pera M
AD  - Servicio de Cirugia General, Hospital del Mar, Barcelona, Spain; Instituto 
      Hospital del Mar de Investigaciones Medicas (IMIM), Barcelona, Spain; Departmento 
      de Cirugia, Universitat Autonoma de Barcelona, Bellaterra (Barcelona), Spain.
FAU - Sancho-Insenser, Joan
AU  - Sancho-Insenser J
AD  - Servicio de Cirugia General, Hospital del Mar, Barcelona, Spain; Instituto 
      Hospital del Mar de Investigaciones Medicas (IMIM), Barcelona, Spain; Departmento 
      de Cirugia, Universitat Autonoma de Barcelona, Bellaterra (Barcelona), Spain.
FAU - Pera, Miguel
AU  - Pera M
AD  - Servicio de Cirugia General, Hospital del Mar, Barcelona, Spain; Instituto 
      Hospital del Mar de Investigaciones Medicas (IMIM), Barcelona, Spain; Departmento 
      de Medicina y Ciencias de la Salud (MELIS), Universitat Pompeu Fabra, Barcelona, 
      Spain.
LA  - eng
PT  - Journal Article
DEP - 20240209
PL  - Spain
TA  - Cir Esp (Engl Ed)
JT  - Cirugia espanola
JID - 101771152
SB  - IM
MH  - Humans
MH  - *Colectomy/methods
MH  - *Elective Surgical Procedures
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Adverse effects
OT  - Efectos adversos
OT  - Indicadores de calidad
OT  - Mejoria de la calidad
OT  - Outcome assessment (Health Care)
OT  - Quality improvement
OT  - Quality indicators
OT  - Registries
OT  - Registros clinicos
OT  - Valoracion de resultados en salud
EDAT- 2024/02/12 05:43
MHDA- 2024/04/22 06:43
CRDT- 2024/02/11 19:12
PHST- 2023/10/08 00:00 [received]
PHST- 2023/11/23 00:00 [accepted]
PHST- 2024/04/22 06:43 [medline]
PHST- 2024/02/12 05:43 [pubmed]
PHST- 2024/02/11 19:12 [entrez]
AID - S2173-5077(24)00043-7 [pii]
AID - 10.1016/j.cireng.2023.11.024 [doi]
PST - ppublish
SO  - Cir Esp (Engl Ed). 2024 Apr;102(4):209-215. doi: 10.1016/j.cireng.2023.11.024. 
      Epub 2024 Feb 9.