Disclosure and Reporting of Surgical Complications: A Double-Edged Sword?

Stahel, Philip F.; Flierl, Michael A.; Smith, Wade R.; Morgan, Steven J.; Victoroff, Michael S; Clarke, Ted J.; Sabel, Allison L.; Mehler, Philip S.

doi:10.1177/1062860610370989

Cited by 16 publications

(17 citation statements)

References 14 publications

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“…Underreporting of surgical complications creates a gap of information which may otherwise help prevent the recurrence of a similar adverse event. The Department of Orthopaedics at Denver Health implemented a new Quality Assurance (QA) process in 2007 [19]. This new QA protocol was designed to lower the threshold of reporting all perceived complications, "near-misses", and "no-harm events", mandating a standardized peer-review of all reported occurrences in a "real-time" fashion, and relies on the following three cornerstones:…”

Section: Introductionmentioning

confidence: 99%

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A structured approach to improving patient safety: Lessons from a public safety-net system

2011

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Section: Introductionmentioning

confidence: 99%

“…Within two years of implementation of this new QA process, the median rate of reported occurrences increased more than 6-fold from 1.7 to 11.1 per 100 surgical procedures [19]. Similarly, the overall complication rate for the entire Department of Orthopaedics at Denver Health increased almost 5-fold, from 1.4% to 6.7%.…”

Section: Introductionmentioning

confidence: 99%

A structured approach to improving patient safety: Lessons from a public safety-net system

2011

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“…We have recently described a new Quality Assurance (QA) process in orthopaedics, which was designed to lower the threshold of reporting all perceived complications, "near-misses", and "no-harm events", mandating a standardized peer-review of all reported occurrences in a "real-time" fashion [37]. The new QA process implanted at Denver Health Medical Center relies on the following three cornerstones:…”

Section: Introductionmentioning

confidence: 99%

“…The standardized case review form is shown in Figure 1 impressively, the median rate of reported occurrences increased more than 6-fold from 1.7 to 11.1 per 100 surgical procedures, within 21/2 years of implementation of the new QA process [37]. Similarly, the overall complication rate for the entire Department of Orthopaedics at Denver Health Medical Center increased almost 5-fold, from 1.4% to 6.7%.…”

Section: Introductionmentioning

confidence: 99%

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Challenges and barriers to improving care of the musculoskeletal patient of the future - a debate article and global perspective

Fayaz

Jupiter

Pape³

et al. 2011

Patient Saf Surg

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BackgroundWith greater technological developments in the care of musculoskeletal patients, we are entering an era of rapid change in our understanding of the pathophysiology of traumatic injury; assessment and treatment of polytrauma and related disorders; and treatment outcomes. In developed countries, it is very likely that we will have algorithms for the approach to many musculoskeletal disorders as we strive for the best approach with which to evaluate treatment success. This debate article is founded on predictions of future health care needs that are solely based on the subjective inputs and opinions of the world's leading orthopedic surgeons.Hence, it functions more as a forum-based rather than a scientific-based presentation. This exposé was designed to stimulate debate about the emerging patients' needs in the future predicted by leading orthopedic surgeons that provide some hint as to the right direction for orthopedic care and outlines the important topics in this area.DiscussionThe authors aim to provide a general overview of orthopedic care in a typical developed country setting. However, the regional diversity of the United States and every other industrialized nation should be considered as a cofactor that may vary to some extent from our vision of improved orthopedic and trauma care of the musculoskeletal patient on an interregional level.In this forum, we will define the current and future barriers in developed countries related to musculoskeletal trauma, total joint arthroplasty, patient safety and injuries related to military conflicts, all problems that will only increase as populations age, become more mobile, and deal with political crisis.SummaryIt is very likely that the future will bring a more biological approach to fracture care with less invasive surgical procedures, flexible implants, and more rapid rehabilitation methods. This international consortium challenges the trauma and implants community to develop outcome registries that are managed through health care offices and to prepare effectively for the many future challenges that lie in store for those who treat musculoskeletal conditions.

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Reporting of Complications

Stahel

Butler

2014

Patient Safety in Surgery

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Disclosure and Reporting of Surgical Complications: A Double-Edged Sword?

Cited by 16 publications

References 14 publications

A structured approach to improving patient safety: Lessons from a public safety-net system

A structured approach to improving patient safety: Lessons from a public safety-net system

Challenges and barriers to improving care of the musculoskeletal patient of the future - a debate article and global perspective

Reporting of Complications

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