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Pediatric surgical errors: A systematic scoping review.

Katherine M Marsh¹, Mark A Fleming², Florence E Turrentine³

¹Department of Surgery, University of Virginia, Charlottesville, VA 22908-0709, USA; Surgical Outcomes Research Center, University of Virginia, Charlottesville, Virginia 22908-0709, USA.

Journal of Pediatric Surgery

|August 9, 2021

Summary

This summary is machine-generated.

Pediatric surgery uses varied definitions and methods to study medical errors. Improving patient safety requires standardizing these approaches to reduce errors in children's surgical care.

Keywords:

Medical error Pediatric surgery Pediatric surgical error Scoping study Surgical error Systematic review

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Area of Science:

Medical error analysis
Pediatric surgery safety
Systematic scoping review

Background:

Medical errors were historically underreported before the "To Err Is Human" report.
Understanding error definition and study practices in pediatric surgery is crucial.

Purpose of the Study:

To systematically review how pediatric surgery defines and investigates medical errors.
To identify common themes in research on pediatric surgical errors.

Main Methods:

A systematic scoping review following the Arksey and O'Malley framework.
Searches conducted in PubMed, Cochrane Database of Systematic Reviews, and Cochrane Central Register of Controlled Trials in January 2020.
Inclusion of studies rated Oxford Level of Evidence 3 or higher.

Main Results:

12 studies were included from 3,064 initial records, analyzing 5,442,000 patients and 8,893 errors.
Six distinct error definitions and five different study methodologies were identified.
Key themes included a systems-based approach, increased errors with complexity, and links between errors and adverse events.

Conclusions:

The pediatric surgical literature exhibits diverse definitions and methods for studying errors.
Standardization of error definitions and study approaches is needed.
Opportunities exist to enhance the safety of pediatric surgical care by reducing medical errors.