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Surgical complications: errors and adverse events.

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  • 1The Hand to Elbow Clinic, Bath, UK.

The Journal of Hand Surgery, European Volume
|February 5, 2024
PubMed
Summary
This summary is machine-generated.

Surgical complications require clear definitions, distinguishing between errors and adverse outcomes. Understanding patient and surgeon perspectives on these events is crucial for improved care and recovery.

Keywords:
Human FactorsSurgeryadverse eventbiascomplicationerrorpoint of no return

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Area of Science:

  • Surgical Safety and Quality Improvement
  • Patient Outcomes Research

Background:

  • The term 'complications' in surgery is ambiguous, encompassing both surgical errors and adverse outcomes.
  • Current grading systems for surgical complications are not well-established and can be improved by separately evaluating errors and outcomes.

Purpose of the Study:

  • To clarify the terminology surrounding surgical complications by differentiating between errors and adverse outcomes.
  • To explore the importance of understanding patient and surgeon perspectives on surgical errors and adverse outcomes.

Main Methods:

  • Conceptual analysis and proposal for distinct terminology of surgical errors and adverse outcomes.
  • Review of existing literature on patient and surgeon responses to adverse surgical events.

Main Results:

  • Distinguishing between surgical errors and adverse outcomes offers a clearer framework for analysis and improvement.
  • Patient perspectives on adverse surgical outcomes may differ significantly from surgeon perspectives.
  • Surgeon responses to errors and adverse outcomes are varied and often negative, necessitating further understanding.

Conclusions:

  • Adopting precise definitions for surgical errors and adverse outcomes is essential for enhancing patient safety.
  • Further research into patient and surgeon psychological responses to adverse surgical events is needed to improve support and recovery processes.