Interventions such as the World Health Organization (WHO) surgical safety checklist
and national surgical databases have been developed to reduce surgical errors and
standardize the operative patient care in order to improve postoperative outcomes.
Nevertheless, these measures to upgrade care in the operating room (OR) have not been
carried over to the surgical ward round in the same manner.
1
Zegers et al. reported that more than 50% of the adverse events (AE) were related
to surgical procedures, taking place on the ward rather than in the OR and 12.8% resulted
in permanent disability or contributed to death. The proportion of adverse events
and their impact increased with age. Among deceased hospital patients, 10.7% (95%
CI 9.8%–11.7%) had experienced an AE. Preventable AEs that contributed to death occurred
in 4.1% (95% CI 3.5%–4.8%) of all hospital deaths.
2
Recent evidence showed that short-term surgical outcomes are determined in a half
by the quality of postoperative care. The variability in the processes of perioperative
care are directly proportional to the incidence of AEs and poor outcomes of inpatients.
Some factors such as hospital resources, teaching hospital status and nurse staff
have been identified to be related with inpatients' negative outcomes.
- Zegers M.
- de Bruijne M.C.
- Wagner C.
- et al.
Adverse events and potentially preventable deaths in Dutch hospitals: results of a
retrospective patient record review study.
Qual Saf Health Care. 2009 Aug; 18 (PMID: 19651935): 297-302https://doi.org/10.1136/qshc.2007.025924
1
,
2
,
- Zegers M.
- de Bruijne M.C.
- Wagner C.
- et al.
Adverse events and potentially preventable deaths in Dutch hospitals: results of a
retrospective patient record review study.
Qual Saf Health Care. 2009 Aug; 18 (PMID: 19651935): 297-302https://doi.org/10.1136/qshc.2007.025924
3
- Kmietowicz Z.
Restore ward rounds to former glory to improve patient care, say colleges.
BMJ. 2012 Oct 3; 345 (PMID: 23034924)e6622https://doi.org/10.1136/bmj.e6622
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References
- Surgical ward round quality and impact on variable patient outcomes.Ann Surg. 2014 Feb; 259 (PMID: 24263319): 222-226https://doi.org/10.1097/SLA.0000000000000376
- Adverse events and potentially preventable deaths in Dutch hospitals: results of a retrospective patient record review study.Qual Saf Health Care. 2009 Aug; 18 (PMID: 19651935): 297-302https://doi.org/10.1136/qshc.2007.025924
- Restore ward rounds to former glory to improve patient care, say colleges.BMJ. 2012 Oct 3; 345 (PMID: 23034924)e6622https://doi.org/10.1136/bmj.e6622
- Traffic lights: putting a stop to unsafe patient transfers.BMJ Qual Improv Rep. 2015; 4 (u204799.w2079. Published 2015 Jan 7)https://doi.org/10.1136/bmjquality.u204799.w2079
- Whiteboards and discharge traffic lights: visual management in acute care.Aust Health Rev. 2015 Apr; 39 (PMID: 25513806): 160-164https://doi.org/10.1071/AH14131
- Is bed turnover rate a good metric for hospital scale efficiency? A measure of resource utilization rate for hospitals in Southeast Nigeria. Cost Eff Resour.Alloc. 2020; 18: 21https://doi.org/10.1186/s12962-020-00216-w
Article info
Publication history
Published online: October 20, 2021
Accepted:
October 11,
2021
Received in revised form:
October 2,
2021
Received:
August 3,
2021
Identification
Copyright
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