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Operating theatre lists--accidents waiting to happen?

M W Reed1, W S Phillips

  • 1Department of Surgical & Anaesthetic Sciences, Royal Hallamshire Hospital, Sheffield.

Annals of the Royal College of Surgeons of England
|November 1, 1994
PubMed
Summary

Errors on operating lists can lead to patient harm and litigation. This audit measured the incidence of errors, omissions, and alterations in hospital operating lists to identify risks.

Area of Science:

  • Medical error analysis
  • Patient safety in surgical settings

Background:

  • Litigation frequently arises from operating theatre errors.
  • Incorrect operating list details are a significant risk factor.
  • Recommendations exist to mitigate these risks, emphasizing patient identification and list integrity.

Purpose of the Study:

  • To audit operating lists for errors, omissions, and alterations.
  • To assess the incidence of potential patient safety risks.
  • To evaluate current operating list management practices.

Main Methods:

  • A one-month audit of operating lists across all specialties.
  • Inclusion of all completed operating lists at Royal Hallamshire Hospital, Sheffield.
  • Systematic review for errors, omissions, and modifications.

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Main Results:

  • The audit measured the frequency of errors, omissions, and alterations in operating lists.
  • Data was collected over a one-month period for all hospital specialties.
  • The incidence of specific error types was quantified.

Conclusions:

  • The study highlights the potential for dangerous errors due to current operating list procedures.
  • An audit is crucial for measuring and understanding the scope of these errors.
  • Findings will inform strategies to improve operating theatre safety and reduce litigation.