Contributing factors to severe complications after liver resection: an aggregate root cause analysis in 105 consecutive patients.

Conclusion: A pragmatic aggregated RCA process improved our understanding of system vulnerabilities based on the analysis of a limited number of events and a reasonable resource intensity. The identification of patterns contributing to severe complications lay the rationale of future contextualized safety interventions beyond the scope of liver resections.
PMID: 33014137 [PubMed]

Source: Patient Safety in Surgery - October 7, 2020 Category: Surgery Authors: Houssaini K, Lahnaoui O, Souadka A, Majbar MA, Ghanam A, El Ahmadi B, Belkhadir Z, Amrani L, Mohsine R, Benkabbou A Tags: Patient Saf Surg Source Type: research