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[Adverse events in ambulatory surgical procedures]
Jesús M Aranaz1, Francisco Ivorra, Antonio F Compañ
1Servicio de Medicina Preventiva, Hospital Universitari Sant Joan d'Alacant, Departamento de Salud Pública, Historia de la Ciencia y Ginecología, Universidad Miguel Hernández, San Juan de Alicante, Alicante, España. aranaz_jes@gva.es
Objective:
To assess the incidence of adverse events and patients with adverse events in ambulatory surgical procedures and to compare it with that of other studies.
Material And Method:
Historical cohort study. The scope of the study was the ambulatory surgical procedures unit of a university hospital. All general surgery department patients seen in this unit during the year 2005 were included.
Results:
The incidence of patients with adverse events directly related to hospital care was of 3% (95% CI, 0.9-5). Of the adverse events identified 5 were considered slight, 3 moderate and none were considered serious. All the moderate ones were considered unavoidable and of slight, only the one was avoidable. Six of the adverse events were associated to a procedure, one due to hospital infections and one with other causes. There was an increase in hospital stay due to 75% of the adverse events, and 25% of them affected admission.
Conclusions:
The incidence of adverse events related to medical care in the Spanish hospitals is similar to those found in the studies carried out in American and European countries using the same methodology. The surgical area is considered a high risk unit. However, ambulatory surgical procedures reduce these risks, in such a way that the incidence is far below that of surgery department. Therefore, besides improving the technical efficiency of the clinical services, it is safer for the patients.
Insights
Adverse events in ambulatory surgery are infrequent, with a 3% incidence. These events were mostly minor, rarely serious, and significantly safer than traditional surgery, improving patient outcomes.
Area of Science:
- Medical Safety
- Surgical Procedures
- Health Services Research
Context:
- Ambulatory surgical procedures are increasingly common in university hospitals.
- Assessing adverse events is crucial for patient safety and quality improvement.
- Previous studies have established benchmarks for adverse event rates in various healthcare settings.
Purpose:
- To determine the incidence of adverse events in ambulatory surgical procedures.
- To compare the safety of ambulatory surgery with other surgical settings.
- To identify the types and severity of adverse events in this patient population.
Summary:
- A historical cohort study of general surgery patients in 2005 found a 3% incidence of adverse events related to hospital care.
- Most adverse events were minor (5 slight, 3 moderate), with no serious events reported.
- Adverse events led to increased hospital stay in 75% of cases and affected admission in 25%.
Impact:
- Ambulatory surgery demonstrates a significantly lower incidence of adverse events compared to traditional surgery departments.
- The findings suggest that ambulatory surgical procedures are a safer option for patients.
- This study contributes to understanding patient safety in surgical care and informs best practices.
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