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Related Experiment Video

Updated: May 3, 2026

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Errors in otolaryngology revisited.

Rahul K Shah¹, Emily F Boss, Jean Brereton

¹Children's National Medical Center, George Washington University, Washington, DC, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery

|February 7, 2014

Summary

This summary is machine-generated.

Otolaryngology errors persist despite a decade of awareness, with technical and administrative issues posing the greatest risks. Further efforts are needed to reduce adverse events in otolaryngology practice.

Keywords:

WSPE adverse events errors in medicine errors in surgery harm never events patient safety quality improvement wrong-site surgery

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Area of Science:

Medical safety
Otolaryngology
Healthcare quality improvement

Background:

A previous study identified otolaryngology error risks and proposed a classification schema.
A decade has passed since the initial risk assessment and schema proposal.

Purpose of the Study:

To gather current data on otolaryngology errors using a similar methodology.
To compare current error data with findings from a decade prior.
To identify persistent and emerging risks in otolaryngology practice.

Main Methods:

Anonymous online survey distributed to members of the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS).
Respondents described events they felt should not have happened.
Events were classified using a modified version of the prior schema.

Main Results:

66% of respondents reported an event in the past 6 months.
Technical errors (27.9%) and administrative errors (12.2%) were most common.
High morbidity rates were associated with technical errors (71%), cranial nerve injuries (91.3%), and wrong-site surgeries (8).

Conclusions:

Otolaryngologists remain vulnerable to errors and adverse events.
Little overall change in error rates or high-risk domains has occurred over the past decade.
Key risk areas include technical, administrative, diagnostic testing, and surgical planning errors, necessitating focused preventive efforts.