Patient Safety Risks of Basic Urological Procedures Performed by Junior and Senior Residents

Abstract

Present performance of basic urological procedures involves a high percentage of unintended events, especially in TRUSP and TURBT, which are mainly caused by human factors and are a potential threat for patient safety. Junior residents are less independent but more thorough in the performance of UCS and TRUSP than senior residents are. Targeted skills training including assessment should be implemented before privileges for independent practice are granted to reduce the incidence of unintended events and optimize patient safety.

Root Cause Analysis Using the Prevention and Recovery Information System for Monitoring and Analysis Method in Healthcare Facilities: A Systematic Literature Review

“…In 19 studies, events with deviations were analyzed, including incidents, 16 , 24 , 26 , 30 – 32 , 34 , 36 UEs, 22 , 27 , 28 , 33 , 35 errors, 12 , 21 , 25 and adverse events. 23 , 29 , 37 In almost all (n = 7) of the studies analyzing incidents, a clear definition of “an incident” was mentioned.…”

“… 23 , 29 , 37 In almost all (n = 7) of the studies analyzing incidents, a clear definition of “an incident” was mentioned. For example: “A critical incident was defined as an event that had actual or potential harmful effects on the outcome of the management of a patient or group.” 33 Unintended events were defined as “a broader group of events—including near misses—that do not necessarily result in patient harm.” 22 , 27 , 28 , 32 , 35 The adverse events in the study by Zegers et al 37 and Merten et al 23 were defined as “unintended injuries among patients that results in disability, death or prolonged hospital stay, and is caused by health care management.”…”

“… 20 The majority of studies (n = 16) limited the study population to one department or specialty, 14 , 15 , 17 – 19 , 21 , 22 , 24 – 26 , 28 , 29 , 32 , 33 , 35 , 36 whereas others included cases from various hospital departments. 19 , 29 , 33 , 36 – 39 …”

High educational impact of a national simulation-based urological curriculum including technical and non-technical skills

“…One could question the need for basic urological skills training for experienced, final-year residents or highly technically skilled residents. Interestingly, a recent study showed that a high percentage of unintended events occurred in basic urological procedures performed by junior as well as senior residents [26]. This indicates that 'being a senior resident' does not automatically exclude the need for basic urological skills training, and suggests the need for objective assessment of skills in the integration of a more personalized approach.…”

Risk factors affecting maternal health outcomes in Rivers State of Nigeria: Towards the PRISMA model

“…Thirdly, we analyze the data with exploratory factor analysis to identify the relationships between the maternal health risk factors and we further discuss our findings to establish the factors that healthcare experts and managers can prevent as avoidable and those that they can only mitigate as unavoidable. Finally, we discuss the study's contribution to the literature on maternal health care (Mackintosh & Sandall, 2016;Callister & Edward, 2016;Izugbara & Wekesah, 2018;Okonofua et al, 2017) and PRISMA operationalization (Fluitman et al, 2016;De Vries et al, 2015;van Galen et al, 2016;Martijn et al, 2012) and introduce a new dimension to maternal healthcare management through our PRISMA based questionnaire (PRMQ) that provides a holistic clinical data collection instrument for managing patient safety.…”