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Adverse Event Reporting in Otolaryngology
Nicola M Pereira1, Anthony P Sclafani2, Ashutosh Kacker2
1Weill Cornell Medical College, New York, New York, U.S.A.
The Laryngoscope
|March 22, 2022
Summary
Adverse events in otolaryngology (ENT) departments are more frequent in perioperative and airway management settings. This study highlights the need for targeted quality initiatives in surgical specialties to improve patient safety.
Area of Science:
- Healthcare quality and patient safety research.
- Surgical adverse event analysis.
- Otolaryngology (ENT) clinical practice.
Background:
- Adverse events are common in hospitals and negatively impact care quality.
- Limited data exists on otolaryngology (ENT) adverse events and comparisons with other medical services.
Purpose of the Study:
- To analyze the frequency and categories of adverse events in ENT departments.
- To compare adverse event rates in ENT with those in all other hospital departments.
Main Methods:
- Retrospective review of adverse event data from a regional hospital network (July 2014 - August 2017).
- Examination of common adverse event categories in ENT.
- Descriptive analysis and paired t-test for data analysis.
Main Results:
- 291 adverse events reported in ENT vs. 58,219 in other specialties.
- Most common ENT adverse events: perioperative, equipment/devices, airway management.
- ENT had higher rates of perioperative/airway errors; lower rates of medication, falls, and safety events compared to other departments.
Conclusions:
- Perioperative and airway management errors occur significantly more often in ENT departments.
- Analysis of adverse event reporting in surgical specialties is crucial for developing targeted quality improvement initiatives.
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