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Managing the adverse event occurring during elective, ambulatory pediatric surgery
1Division of Pediatric General Surgery, British Columbia Children's Hospital, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada. eskarsgard@cw.bc.ca
Insights
Unexpected adverse medical events in pediatric surgery can have severe consequences. Prompt patient care, family disclosure, and critical incident review are vital for improving safety and quality assurance.
Area of Science:
- Pediatric Surgery
- Patient Safety
- Medical Ethics
Background:
- Adverse medical events during pediatric elective surgery are unexpected and can lead to severe, long-term consequences.
- These events profoundly impact patients, families, and healthcare professionals involved in pediatric surgical care.
Observation:
- Ensuring uninterrupted patient care is paramount following an adverse event.
- Full disclosure of events leading to harm and ongoing communication with the family are crucial.
Findings:
- Systematic review of adverse events as 'critical incidents' is essential.
- This review process identifies opportunities for practice improvement and enhanced patient safety.
Implications:
- Implementing critical incident reviews can lead to significant improvements in pediatric surgical safety.
- Ongoing quality assurance monitoring ensures compliance with evolving care standards and patient well-being.
Abstract:
Adverse medical events occurring in the context of care of children undergoing elective surgical procedures are usually truly unexpected occurrences with the potential for long-term consequences. Such events, when they occur, are obviously devastating to the patient and family, but frequently also to the pediatric surgeon and his/her team. When such events occur, it is important to ensure uninterrupted care of the patient, a full disclosure of events leading to harm, and an ongoing accessibility to the family for disclosure of new information as it becomes available. Finally, it is important that the adverse event be systematically reviewed as a "critical incident," so that opportunities for practice improvement leading to enhanced patient safety can be realized and compliance with new care standards monitored through ongoing quality assurance.
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