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Research Article Open access CC BY 4.0

Unexpected Failure Events in Surgical Patients: Failure of the System or of the Patient?

Fyntanidou Barbara, Fotiadis Kyriakos, Diamantidou Anna, Stavrou George, Doumaki Eleni, Grosomanidis Vasilios, Kotzampassi Katerina

Asian Journal of Medicine and Health · pp. 1–6 · Published 10 Jul 2017

10.9734/AJMAH/2017/34519

Abstract

Background: Unexpected failure events are undesired harmful effects, which result in prolonged hospital stay, higher mortality and morbidity rates and increased hospital costs. The aim of our study was to identify and thorough investigate patients hospitalized in our university surgical ward, who had to be transferred to the surgical ICU (SICU) due to such an event. Methods: This was a retrospective observational study performed in the surgical ward of a large, urban, teaching hospital during a 2.5 year period. All failure events, which resulted in the transport of surgical patients from ward to the SICU, were included and reviewed. Results: There were 56 failure events recorded in 43 patients. Most patients suffering a failure event were admitted through the Emergency Department as acute cases (55,81%) and in most cases the failure event was identified by a nurse on duty (51,8%). Respiratory failure was the most common final diagnosis after SICU admission (60,71%). Of the total 43 patients suffering one or more failure event, 14 died. Conclusions: Based on our results, it seems that high risk patients admitted through ED should be admitted into ICUs for safety reasons. Moreover, triggering systems and monitoring of postsurgical patients, especially respiratory monitoring, would be helpful in minimizing failure events.  

Failure events perioperative events SICU postsurgical patients

References (13)

  1. 1 Incidence of Adverse Events and Negligence in Hospitalized Patients [DOI]
  2. 2 Adverse events in British hospitals: preliminary retrospective record review [DOI]
  3. 3 The incidence and nature of in-hospital adverse events: a systematic review [DOI]
  4. 4 Effect of a Comprehensive Surgical Safety System on Patient Outcomes [DOI]
  5. 5 A look into the nature and causes of human errors in the intensive care unit [DOI]
  6. 6 Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I [DOI]
  7. 7 Incidence, location and reasons for avoidable in-hospital cardiac arrest in a district general hospital [DOI]
  8. 8 Review and performance evaluation of aggregate weighted ‘track and trigger’ systems [DOI]
  9. 9 The objective medical emergency team activation criteria: A case–control study [DOI]
  10. 10 Prediction of in-hospital mortality and length of stay using an early warning scoring system: clinical audit [DOI]
  11. 11 Validation of physiological scoring systems in the accident and emergency department [DOI]
  12. 12 An Observational Study of the Frequency, Severity, and Etiology of Failures in Postoperative Care After Major Elective General Surgery [DOI]
  13. 13 Failure Events in Transition of Care for Surgical Patients [DOI]

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