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Related Experiment Videos

Auditing perioperative mortality.

G T Deans, W Odling-Smee, S T McKelvey

    Annals of the Royal College of Surgeons of England
    |July 1, 1987
    PubMed
    Summary
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    Auditing surgical mortality by classifying deaths as

    Area of Science:

    • Surgical outcomes research
    • Patient safety in surgery

    Background:

    • Perioperative mortality is a critical metric in surgical practice.
    • Assessing surgical performance requires nuanced evaluation beyond overall mortality rates.

    Purpose of the Study:

    • To introduce and recommend a classification system for surgical mortality.
    • To differentiate between 'expected' and 'unexpected' perioperative deaths.

    Main Methods:

    • A ten-year audit of postoperative mortality.
    • Classification of deaths based on the perceived low probability of mortality given clinical circumstances at the time of operation.

    Main Results:

    • The classification of deaths into 'expected' and 'unexpected' provides a more insightful assessment of surgical performance.

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  • This method highlights specific cases for potential improvements in surgical management.

    • Conclusions:

    • The classification of surgical deaths into 'expected' and 'unexpected' is a valuable tool for surgical audits.
    • This approach enhances the evaluation of surgical performance and identifies areas for quality improvement.