The risk of postoperative deterioration of non-cardiac surgery patients with ICU referral status who are admitted to the regular ward: a retrospective observational cohort study
CONCLUSIONS: Post-operative deterioration occurs frequently, and early, in a cohort of high-risk surgical patients initially assessed as being safe for ward care. Changes to current triage models for post-operative intensive care unit admission may reduce the impact of complications in this high-risk group.PMID:33612120 | DOI:10.1186/s13037-021-00283-9 (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - February 22, 2021 Category: Surgery Authors: David Moore Matthew L Durie Sohail Bampoe Luke Buizen Jai N Darvall Source Type: research

Pan-dent-emic: a dentist's dilemma in the COVID-19 era
Patient Saf Surg. 2021 Feb 14;15(1):9. doi: 10.1186/s13037-021-00282-w.ABSTRACTThe aftermath of the COVID-19 pandemic has been unfathomable. It has affected every sector within health care industry with dentistry being one of the worst hits. Not only has it impacted the dental practice, the field of dental education has been affected as well. There has been loss in terms of delayed to no treatments, finances, psychology and most importantly breaks in ongoing education and research practices. The present article attempts to explain the dilemma of the current situation from a dentist's perspective. Since, the effects of the ...
Source: Patient Safety in Surgery - February 15, 2021 Category: Surgery Authors: Nidhi Manaktala Swati Pralhad Roma M Source Type: research

Pan-dent-emic: a dentist's dilemma in the COVID-19 era.
Abstract The aftermath of the COVID-19 pandemic has been unfathomable. It has affected every sector within health care industry with dentistry being one of the worst hits. Not only has it impacted the dental practice, the field of dental education has been affected as well. There has been loss in terms of delayed to no treatments, finances, psychology and most importantly breaks in ongoing education and research practices. The present article attempts to explain the dilemma of the current situation from a dentist's perspective. Since, the effects of the contagion are seen across each level of dentistry, the curren...
Source: Patient Safety in Surgery - February 14, 2021 Category: Surgery Authors: Manaktala N, Pralhad S, M R Tags: Patient Saf Surg Source Type: research

Increased perioperative mortality for femoral neck fractures in patients with coronavirus disease 2019 (COVID-19): experience from the United Kingdom during the first wave of the pandemic.
Abstract BACKGROUND: The coronavirus disease 19 (COVID-19) pandemic has presented modern healthcare with an unprecedented challenge. At the peak of the pandemic, trauma and orthopaedic services at our institutions undertook internal restructuring, diverting resources to frontline medical care. Consequently, we sought to assess the impact on the elderly and comorbid patients presenting with femoral neck fractures, with a particular focus on 30-day mortality, length of stay, multidisciplinary team involvement and departmental structuring. METHOD: A retrospective analysis of patients presenting with femoral neck...
Source: Patient Safety in Surgery - January 10, 2021 Category: Surgery Authors: Wright EV, Musbahi O, Singh A, Somashekar N, Huber CP, Wiik AV Tags: Patient Saf Surg Source Type: research

The safety of early versus late ileostomy reversal after low anterior rectal resection: a retrospective study in 47 patients.
CONCLUSIONS: No association was observed between the time of closure and development of major complications; however, there was an increased likelihood of minor complications after EC. This study provides a basis on which future treatment guidelines for early stoma closure may be developed without affecting patient quality of life. PMID: 33423686 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - January 10, 2021 Category: Surgery Authors: Fukudome I, Maeda H, Okamoto K, Kuroiwa H, Yamaguchi S, Fujisawa K, Shiga M, Dabanaka K, Kobayashi M, Namikawa T, Hanazaki K Tags: Patient Saf Surg Source Type: research

Living with a recalled implant: a qualitative study of patients' experiences with ASR hip resurfacing arthroplasty.
CONCLUSIONS: Despite all the attention when the ASR prosthesis was recalled, patients with ASR-HRA did not report themselves negatively affected by the recall in this group of patients where a majority had actively sought for an HRA procedure. The healthcare system has an obligation to continue the annual exams, even if the implant provider does not continue reimbursement. PMID: 33407687 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - January 6, 2021 Category: Surgery Authors: Bitar C, Krupic F, Felländer-Tsai L, Crnalic S, Wretenberg P Tags: Patient Saf Surg Source Type: research

Improving the safety of nasogastric tube insertion by the "SORT maneuver" during the novel coronavirus pandemic (COVID-19).
Improving the safety of nasogastric tube insertion by the "SORT maneuver" during the novel coronavirus pandemic (COVID-19). Patient Saf Surg. 2021 Jan 06;15(1):4 Authors: Najafi M PMID: 33407714 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - January 6, 2021 Category: Surgery Authors: Najafi M Tags: Patient Saf Surg Source Type: research

The impact of a perioperative pulmonary care bundle implementation on postoperative outcomes in 1,665 surgical cancer patients: experience from a tertiary referral cancer center in Jordan.
CONCLUSIONS: The standardization of perioperative pulmonary care bundle, including smoking cessation, perioperative pulmonary interventions and early mobilization, significantly reduces the incidence of postoperative pulmonary complications in cancer patients. This technique's implementation was feasible easily even with limited resources in a developing country like Jordan. PMID: 33407717 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - January 6, 2021 Category: Surgery Authors: Abdel Jalil R, Al-Najjar H, Abou Chaar MK, Al-Masri M, Daoud F, Al-Ebous A, Dabous A, Shehadeh AM, Abdel Al S, Alawneh F, Al-Qudah O, Al-Kharabsheh M, Al-Odat G, Mohammad I, Hussein N, Hudaip Z, Al-Tbakhi A, Aqel F Tags: Patient Saf Surg Source Type: research

Attitudes and compliance with the WHO surgical safety checklist: a survey among surgeons and operating room staff in 138 hospitals in China.
Abstract BACKGROUND: Ten years after the introduction of the Chinese Ministry of Health (MoH) version of Surgical Safety Checklist (SSC) we wished to assess the ongoing influence of the World Health Organisation (WHO) SSC by observing all three checklist components during elective surgical procedures in China, as well as survey operating room staff and surgeons more widely about the WHO SSC. METHODS: A questionnaire was designed to gain authentic views on the WHO SSC. We also conducted a prospective cross-sectional study at five level 3 hospitals. Local data collectors were trained to document specific item p...
Source: Patient Safety in Surgery - January 6, 2021 Category: Surgery Authors: Tan J, Ngwayi JRM, Ding Z, Zhou Y, Li M, Chen Y, Hu B, Liu J, Porter DE Tags: Patient Saf Surg Source Type: research

Current challenges and controversies in the management of scapular fractures: a review.
Abstract Fractures of the scapula are rare and usually associated with high-energy trauma. The unfavorable scapular anatomy, combined with the complexity of the approaches for fracture fixation, make the treatment challenging, even for experienced surgeons. Furthermore, the literature is controversial regarding surgical indications and rationale for treatment. The present review article was designed to address and discuss critical aspects of decision-making for the management of scapular fractures, including surgical indications and patient safety considerations. PMID: 33407725 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - January 6, 2021 Category: Surgery Authors: Pires RE, Giordano V, de Souza FSM, Labronici PJ Tags: Patient Saf Surg Source Type: research

Endoscopic retrieval of an accidentally ingested bur during a dental procedure: a case report.
CONCLUSION: Ingestion of instruments are uncertain and hazardous complications to encounter during a dental procedure. The need for physical barrier like rubber dam is mandatory for all dental procedures. However, the dentist should be well trained to handle such medical emergencies and reassure the patient by taking them into confidence. Each incident encountered should be thoroughly documented to supply adequate guidance for treatment aspects. This would fulfil the professional responsibilities of the dentist/ clinician and may help avoid possible legal and ethical issues. This case report emphasizes on the need for the ...
Source: Patient Safety in Surgery - January 5, 2021 Category: Surgery Authors: Kunaparaju K, Shetty K, Jathanna V, Nath K, M R Tags: Patient Saf Surg Source Type: research

The role of saline irrigation prior to wound closure in the reduction of surgical site infection: a systematic review and meta-analysis.
CONCLUSION: This systematic review could not identify an advantage for routine irrigation of abdominal wounds with normal saline over no irrigation prior to wound closure in preventing or reducing the rate of SSI. SYSTEMATIC REVIEW REGISTRATION: PROSPERO registry number CRD42018082287 . PMID: 33353558 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - December 22, 2020 Category: Surgery Authors: Ambe PC, Rombey T, Rembe JD, Dörner J, Zirngibl H, Pieper D Tags: Patient Saf Surg Source Type: research

Root causes of elective surgical case cancellation in Ethiopia: a systematic review and meta-analysis.
CONCLUSION: The prevalence of elective surgical case cancellation was considerable. The most common root cause for elective surgical case cancellation was administration-related reasons, followed by the surgeon, medical and patient-related reasons. The causes for the surgical cancellations are potentially preventable. Thus, efforts should be made to prevent unnecessary cancellations through careful planning. PMID: 33298136 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - December 9, 2020 Category: Surgery Authors: Birhanu Y, Endalamaw A, Adu A Tags: Patient Saf Surg Source Type: research

Safety and efficacy of a novel cephalomedullary nail femoral shaft fractures: a retrospective observational cohort in 33 patients.
CONCLUSION: The nonunion rate of this novel cephalomedullary nail is comparable to what is reported in the literature. This nail is a safe and effective implant to treat femoral shaft fractures with a variety of ipsilateral femoral shaft injuries and reliably leads fracture union. Further studies are needed analyzing implant failure and comparing specific implants. PMID: 33292398 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - December 5, 2020 Category: Surgery Authors: De Leon JC, Tye CB, Breinholt CS, Dang KH, Karia RA Tags: Patient Saf Surg Source Type: research

Evaluation of different airway tests to determine difficult intubation in apparently normal adult patients: undergoing surgical procedures.
This study was designed to evaluate common preoperative clinical tests to determine the risk of difficult endotracheal intubation in apparent "normal" adult patients undergoing surgical procedures. METHODS: A prospective observational cohort study was performed on 160 consecutive adult patients undergoing surgical procedures at an academic medical center in Jordan from 20 May 2019 until 11 February 2020. Preoperative assessment of airway risk stratification was performed by the following clinical tests: the mandible protrusion test (MPT), thyromental (TMD) and sternomental (SMD) distances, inter-incisor gap ...
Source: Patient Safety in Surgery - November 22, 2020 Category: Surgery Authors: El-Radaideh K, Dheeb E, Shbool H, Garaibeh S, Bataineh A, Khraise W, El-Radaideh B Tags: Patient Saf Surg Source Type: research

The role of the surgical resection distance from the pylorus after laparoscopic sleeve gastrectomy: a prospective cohort study from an academic medical center in Egypt.
CONCLUSION: Laparoscopic sleeve gastrectomy was an effective and safe management for morbid obesity and obesity-related comorbidities with significant short-term weight loss; it also improved weight-related quality of life and had an acceptable complication rate. The distance from the pylorus resection distance did not affect the short-term effects of laparoscopic sleeve gastrectomy regarding excess weight loss percentage, resolution of comorbidities, change in quality of life, or occurrence of complications. PMID: 33292433 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - November 18, 2020 Category: Surgery Authors: Hussein AH, Khaled I, Faisal M Tags: Patient Saf Surg Source Type: research

Correction to: Contributing factors to severe complications after liver resection: an aggregate root cause analysis in 105 consecutive patients.
Abstract An amendment to this paper has been published and can be accessed via the original article. PMID: 33292471 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - November 12, 2020 Category: Surgery Authors: Houssaini K, Lahnaoui O, Souadka A, Majbar MA, Ghannam A, El Ahmadi B, Belkhadir Z, Amrani L, Mohsine R, Benkabbou A Tags: Patient Saf Surg Source Type: research

Iatrogenic sciatic nerve injury during liposuction and fat tissue grafting: a preventable surgical complication with devastating patient outcomes.
Conclusion: The sciatic nerve is relatively superficial and vulnerable to injury in the upper thigh and lower buttock regions. Therefore, extreme care should be taken when working in these areas to avoid direct or indirect injury to the sciatic nerve by compression or traction. PMID: 33110447 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - October 30, 2020 Category: Surgery Authors: Abdallah IE, Ayoub R, Sawaya R, Saba SC Tags: Patient Saf Surg Source Type: research

Patient Safety in Surgery: practical tips for authors to circumvent the journal's high rejection rate.
PMID: 33093871 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - October 24, 2020 Category: Surgery Authors: Stahel PF, Weckbach S Tags: Patient Saf Surg Source Type: research

Postoperative mortality among surgical patients with COVID-19: a systematic review and meta-analysis.
Conclusion: The unexpected high postoperative mortality rate in SARS-CoV-2 infected patients of 20% in the global literature mandates further scrutiny in assuring appropriate surgical indications and perioperative surgical safety measures in this vulnerable cohort of patients. Registration: This systematic review and meta-analysis was registered in Prospero's international prospective register of systematic reviews (CRD42020203362) on August 10, 2020. PMID: 33062056 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - October 20, 2020 Category: Surgery Authors: Abate SM, Mantefardo B, Basu B Tags: Patient Saf Surg Source Type: research

Effect of intraoperative dexmedetomidine infusion during functional endoscopic sinus surgery: a prospective cohort study.
Abstract Background: Dexmedetomidine, an α2 agonist, has well-known anesthetic and analgesic-sparing effects. We designed this study to evaluate the effect of intraoperative dexmedetomidine infusion on intra operative blood loss and postoperative pain in functional endoscopic sinus surgery. Methods: This prospective cohort study included 90 patients planning to undergo endoscopic sinus surgery, who were randomly divided into three groups. 2 to 2.5 mg/kg of propofol was used in all groups to induce anesthesia. One group received dexmedetomidine 0.2 μg/kg per hour infusion whereas the oth...
Source: Patient Safety in Surgery - October 20, 2020 Category: Surgery Authors: Fazel MR, Ahmadi ZS, Akbari H, Abam F Tags: Patient Saf Surg Source Type: research

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)
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

Missed positional gluteal compartment syndrome in an obese patient after foot surgery: a case report.
Conclusion: Gluteal compartment syndrome is a surgical emergency that must be considered postoperatively especially in obese patients with prolonged operation times who experience acute buttock pain. The use of positional bars or "bumps" in the gluteal area should be used with caution and raise awareness of this complication after orthopedic surgeries. PMID: 32973924 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - September 27, 2020 Category: Surgery Authors: Khalifa R, Craft MR, Wey AJ, Thabet AM, Abdelgawad A Tags: Patient Saf Surg Source Type: research

Safety measures for COVID-19: a review of surgical preparedness at four major medical centres in Saudi Arabia.
Abstract In view of the worldwide coronavirus disease 2019 (COVID-19) pandemic, hospitals need contingency planning. This planning should include preparation for an unexpected patient surge. This measure is evolving concomitantly with the implementation of the needed infection control rules. Here, we present our experience in contingency planning at four large tertiary hospitals in Saudi Arabia during this global pandemic, with a focus on dealing with COVID-19 patients who need to undergo surgery. The planning covers response measures required in the operating room and supporting units, including the administrativ...
Source: Patient Safety in Surgery - September 15, 2020 Category: Surgery Authors: Alsofyani MA, Malaekah HM, Bashawyah A, Bawazeer M, Akkour K, Alsalmi S, Alkhairy A, Dajim NB, Khalifah S, Almalki IA, Kassab F, Barnawi M, Almalki M, Alharthi M, Alharthi M, Almalki A, Almalki AH, Bourghli A, Obeid I Tags: Patient Saf Surg Source Type: research

Predictors of surgical management of high grade blunt splenic injuries in adult trauma patients: a 5-year retrospective cohort study from an academic level I trauma center.
Conclusion: Non-operative treatment in high grade splenic injuries is a safe treatment modality in hemodynamically stable patients. Hemodynamic status and peroperative bleeding, not injury severity or splenic injury grade were the drivers for surgical management by splenectomy. This selected cohort of patients must be closely monitored to prevent adverse outcomes from secondary delayed bleeding in case of non-operative management. PMID: 32774457 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - August 14, 2020 Category: Surgery Authors: Nijdam TMP, Spijkerman R, Hesselink L, Leenen LPH, Hietbrink F Tags: Patient Saf Surg Source Type: research

Three-dimensional models increase the interobserver agreement for the treatment of proximal humerus fractures.
Conclusions: Three-dimensional models showed, overall, the highest interobserver agreement (experts versus residents in orthopedics) for the choice of treatment of proximal humerus fractures compared to X-ray, Tomography, and Holography. Agreement in the choice of treatment among experts that used Tomography and Holography as diagnostic methods were two times higher compared to residents. Trial registration: Registered in Brazil Platform under no. CAAE 12273519.7.0000.5505. PMID: 32782476 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - August 14, 2020 Category: Surgery Authors: Cocco LF, Aihara AY, Franciozi C, Dos Reis FB, Luzo MVM Tags: Patient Saf Surg Source Type: research

The value of the "Surgical Risk Preoperative Assessment System" (SURPAS) in preoperative consultation for elective surgery: a pilot study.
The value of the "Surgical Risk Preoperative Assessment System" (SURPAS) in preoperative consultation for elective surgery: a pilot study. Patient Saf Surg. 2020;14:31 Authors: Bronsert MR, Lambert-Kerzner A, Henderson WG, Hammermeister KE, Atuanya C, Aasen DM, Singh AB, Meguid RA Abstract Background: Risk assessment is essential to informed decision making in surgery. Preoperative use of the Surgical Risk Preoperative Assessment System (SURPAS) providing individualized risk assessment, may enhance informed consent. We assessed patient and provider perceptions of SURPAS as a risk assessment ...
Source: Patient Safety in Surgery - July 30, 2020 Category: Surgery Authors: Bronsert MR, Lambert-Kerzner A, Henderson WG, Hammermeister KE, Atuanya C, Aasen DM, Singh AB, Meguid RA Tags: Patient Saf Surg Source Type: research

COVID-19 in the operating room: a review of evolving safety protocols.
Conclusion: The surgical staff needs to keep abreast of the latest literature concerning safety measures to be taken during surgical procedures. Review articles can go some distance in helping in this educational process. This knowledge must evolve as new information comes to light. PMID: 32695225 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - July 23, 2020 Category: Surgery Authors: Prakash L, Dhar SA, Mushtaq M Tags: Patient Saf Surg Source Type: research

National hospital quality measures for surgical site infections in South Korea: a survey among 20 expert physicians.
Conclusion: The results of this study show that physicians perceive the need for QI development of hospital SSI measurements to prevent nation-wide SSIs in Korea. However, the feasibility of hospital SSI measurements is low. To develop QIs of hospital SSIs using health insurance claims data, it is necessary to develop a methodology for claims data-based surveillance systems and a data collection system in order to increase the sensitivity and validity of post-operative SSI detection. PMID: 32684979 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - July 22, 2020 Category: Surgery Authors: Ryu M, Yoo H, Choi YK Tags: Patient Saf Surg Source Type: research

Lessons learned from the mechanisms of posttraumatic inflammation extrapolated to the inflammatory response in COVID-19: a review.
Abstract Up to 20% of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) patients develop severe inflammatory complications with diffuse pulmonary inflammation, reflecting acute respiratory distress syndrome (ARDS). A similar clinical profile occurs in severe trauma cases. This review compares pathophysiological and therapeutic principles of severely injured trauma patients and severe coronavirus disease 2019 (COVID-19). The development of sequential organ failure in trauma parallels deterioration seen in severe COVID-19. Based on established pathophysiological models in the field of trauma, two compleme...
Source: Patient Safety in Surgery - July 16, 2020 Category: Surgery Authors: Teuben MPJ, Pfeifer R, Teuber H, De Boer LL, Halvachizadeh S, Shehu A, Pape HC Tags: Patient Saf Surg Source Type: research

Root causes of extended length of stay and unplanned readmissions after orthopedic surgery and hand surgery: a retrospective observational cohort study.
Conclusions: Overstay and readmission in orthopedic and hand day surgery were clearly connected with female patients undergoing general anesthesia and needing larger amounts of intraoperative opioids. By favoring local and regional anesthesia, side effects of general anesthesia, as well as recovery time, will decrease. PMID: 32607129 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - July 2, 2020 Category: Surgery Authors: Tolvi M, Tuominen-Salo H, Paavola M, Mattila K, Aaltonen LM, Lehtonen L Tags: Patient Saf Surg Source Type: research

Improving the surgical consenting process for patients with acute hip fractures: a pilot quality improvement project.
Conclusions: Our project would suggest that while pre-printed stickers can be useful memory aids, specific teaching on consenting produces the greatest benefit. The usage of such tools should therefore be limited, as adjuncts only to specific training. PMID: 32547634 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - June 19, 2020 Category: Surgery Authors: Singh K, Assaf A, Bayley M, Gillespie G Tags: Patient Saf Surg Source Type: research

Seven-day services in surgery and the "weekend effect" at a Japanese teaching hospital: a retrospective cohort study.
Conclusions: Patients undergoing emergency surgery on the weekend had higher 30-day mortality, but showed no difference in elective surgery mortality. These findings have potential implications for health administrators and policy makers who may try to restructure the hospital workweek or consider weekend elective surgery. PMID: 32518591 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - June 12, 2020 Category: Surgery Authors: Matoba M, Suzuki T, Ochiai H, Shirasawa T, Yoshimoto T, Minoura A, Sano H, Ishii M, Kokaze A, Otake H, Kasama T, Kamijo Y Tags: Patient Saf Surg Source Type: research

Expanding access for COVID-19 patients by transforming a burn unit into a closed-circuit unit for surgical patients: experience from an academic medical center in Jordan.
PMID: 32514313 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - June 11, 2020 Category: Surgery Authors: Bani Hani D, Altal O, Aleshawi A, Alhowary AA, Obeidat B Tags: Patient Saf Surg Source Type: research

Assessing the level of evidence in the orthopaedic literature, 2013-2018: a review of 3449 articles in leading orthopaedic journals.
Conclusions: Based on our results we cannot validate the findings of previous studies as we found the overall LOE of both trauma and nontrauma orthopaedic literature has decreased in recent years. JBJS-Am published a greater percentage of high-level studies than did JOT and CORR. Although the number and percentage of high-level studies published in JOT increased during the study period, it still lagged behind JBJS-Am and CORR. PMID: 32467732 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - May 30, 2020 Category: Surgery Authors: Luksameearunothai K, Chaudhry Y, Thamyongkit S, Jia X, Hasenboehler EA Tags: Patient Saf Surg Source Type: research

The novel immunomodulatory biologic LMWF5A for pharmacological attenuation of the "cytokine storm" in COVID-19 patients: a hypothesis.
Conclusions: In conclusion, in vitro findings suggest that the immunomodulatory effects of LMWF5A make it a viable candidate for treating cytokine storm and restoring homeostasis to the immune response in COVID-19. PMID: 32431755 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - May 21, 2020 Category: Surgery Authors: Thomas G, Frederick E, Hausburg M, Goldberg L, Hoke M, Roshon M, Mains C, Bar-Or D Tags: Patient Saf Surg Source Type: research

Introducing the "Corona Curtain": an innovative technique to prevent airborne COVID-19 exposure during emergent intubations.
Conclusion: The new "Corona Curtain" was designed to improve the safety of ED staff when performing urgent/emergent intubations during the current COVID-19 pandemic. The concept can easily be adopted to other patient care areas, including perioperative and intensive care units. Future validation studies are needed to determine the safety and efficacy of the intubation tents by quantifying the pre-/post-intubation exposure through "point-of-care" SARS-CoV-2 testing once these resources are more widely available. PMID: 32431756 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - May 21, 2020 Category: Surgery Authors: Hill E, Crockett C, Circh RW, Lansville F, Stahel PF Tags: Patient Saf Surg Source Type: research

Pitfalls in the embolisation of a thyrocervical trunk bleeding: a case report.
Conclusion: Our paper presents a rare contingency, warning the operator to bear in mind the presence of arteries feeding the spinal cord. This crucial detail precludes the use of microparticles embolisation to prevent neurologic sequelae, whereas the use of endovascular coils for embolization should be mandatory. Moreover, this case reminds that the post-traumatic bleeding deriving from a cervical trauma may also occur later. PMID: 32391083 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - May 13, 2020 Category: Surgery Authors: Perrucci L, Graziano M, Ferrante Z, Salviato E, Carnevale A, Galeotti R Tags: Patient Saf Surg Source Type: research

Successful COVID-19 rescue therapy by extra-corporeal membrane oxygenation (ECMO) for respiratory failure: a case report.
Conclusion: This case report demonstrates a positive outcome in a young patient with COVID-19 treated by the judicious application of ECMO in conjunction with compassionate use antiviral treatment (remdesivir). Future prospective multi-center studies are needed to validate these findings in a larger cohort of patients. PMID: 32395179 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - May 13, 2020 Category: Surgery Authors: Firstenberg MS, Stahel PF, Hanna J, Kotaru C, Crossno J, Forrester J Tags: Patient Saf Surg Source Type: research

Improving the treatment of pre-operative anemia in hepato-pancreato-biliary patients: a quality improvement initiative.
Conclusions: This study demonstrates a small scale spread initiative focused on the treatment of pre-operative anemia. Although the goal to treat 75% of anemic patients was not reached, an effective referral pathway to an existing patient blood management program was developed, and a significant increase in the mean hemoglobin in anemic patients who have been treated pre-operatively was demonstrated. PMID: 32346397 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - April 30, 2020 Category: Surgery Authors: Zwiep TM, Gilbert RWD, Moloo H, Touchie D, Martel G, Wallace T, Bertens KA Tags: Patient Saf Surg Source Type: research

The hidden risk of ionizing radiation in the operating room: a survey among 258 orthopaedic surgeons in Brazil.
Conclusion: This study revealed inadequate theoretical and practical knowledge about radiation exposure among orthopaedic surgeons in Brazil. Only a minority of orthopaedic surgeons used basic radiation protection equipment. No significant differences in knowledge were found when comparing all orthopedic surgery specialties. Our findings indicate an urgent need for education to increase knowledge among orthopaedic surgeons about the hazards of ionizing radiation. Personal protection and implementation of the ALARA (as low as reasonably achievable) protocol in daily practice are important behaviors to prevent the harmful ef...
Source: Patient Safety in Surgery - April 29, 2020 Category: Surgery Authors: Pires RE, Reis IGN, de Faria ÂRV, Giordano V, Labronici PJ, Belangero WD Tags: Patient Saf Surg Source Type: research

Proposal of a new shared payment model for healthcare financing in the United States: a hypothesis.
Abstract The healthcare repayment system in America is highly flawed due to several factors such as uncontrolled costs, unequal access, varied reimbursement systems, and complex patient interfaces. In fact, it is rated the worst among the eleven developed nations analyzed in the Commonwealth Fund's evaluation conducted every three years. We propose a novel three-tiered model for healthcare repayment designed to fulfill the needs of the patients, the providers, the payers and the nation as a whole. We hypothesized that our new plan may spread cost between multiple entities and offer better coverage and access to ca...
Source: Patient Safety in Surgery - April 29, 2020 Category: Surgery Authors: Ziran BH, O'Pry EK Tags: Patient Saf Surg Source Type: research

Improving intraoperative temperature management in elective repeat cesarean deliveries: a retrospective observational cohort study.
Abstract Background: Inadvertent perioperative hypothermia (
Source: Patient Safety in Surgery - April 26, 2020 Category: Surgery Authors: Hoefnagel AL, Vanderhoef KL, Anjum A, Damalanka V, Shah SJ, Diachun CA, Mongan PD Tags: Patient Saf Surg Source Type: research

Isolation protocol for a COVID-2019 patient requiring emergent surgical intervention: case presentation.
Conclusions: We hereby provide our algorithm for emergent surgical procedures in critically-ill patients with presumptive or confirmed infection with COVID-2019. The insights from this case report can potentially be templated to other facilities in order to uphold high standards of infection prevention and patient safety in surgery during the current COVID-19 pandemic. PMID: 32328170 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - April 26, 2020 Category: Surgery Authors: Firstenberg MS, Libby M, Ochs M, Hanna J, Mangino JE, Forrester J Tags: Patient Saf Surg Source Type: research

Significance of incident reports by medical doctors for organizational transparency and driving forces for patient safety.
Conclusion: Reporting by medical doctors reflects the organizational transparency and the driving forces behind patient safety and quality improvement in healthcare. Efforts toward seamless improvement in patient safety and quality at our hospital continue apace. PMID: 32322306 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - April 24, 2020 Category: Surgery Authors: Fukami T, Uemura M, Nagao Y Tags: Patient Saf Surg Source Type: research

Utilization of pre-hospital pelvic circumferential compression devices for pelvic fractures: survey of U.S. level I trauma centers.
Conclusions: There is widespread application of in-hospital and pre-hospital PCCD at US Level I trauma centers, however pre-hospital PCCDs are not applied to all suspected pelvic fractures. Future studies should focus on efficacy, safety, and contraindications for pre-hospital PCCDs. PMID: 32308738 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - April 22, 2020 Category: Surgery Authors: Jarvis S, Salottolo K, Meinig R, Corrigan C, Patel N, Carrick M, Lieser M, Reynolds C, Bar-Or D Tags: Patient Saf Surg Source Type: research

Prevalence, indications, and outcomes of caesarean section deliveries in Ethiopia: a systematic review and meta-analysis.
Conclusion: In this systematic review and meta-analysis, the rate of Cesarean section was high. Cephalopelvic disproportion, low Apgar score, and febrile morbidity were the most common indication of Caesarean section, neonatal outcome and maternal morbidity following Caesarean section respectively. Increasing unjustified Caesarean section deliveries as a way to increase different neonatal and maternal complications, then several interventions needed to target both the education of professionals and the public. PMID: 32292491 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - April 17, 2020 Category: Surgery Authors: Gedefaw G, Demis A, Alemnew B, Wondmieneh A, Getie A, Waltengus F Tags: Patient Saf Surg Source Type: research

How to risk-stratify elective surgery during the COVID-19 pandemic?
PMID: 32288785 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - April 16, 2020 Category: Surgery Authors: Stahel PF Tags: Patient Saf Surg Source Type: research

Risk factors for pressure ulcers from the use of a pelvic positioner in hip surgery: a retrospective observational cohort study in 229 patients.
Abstract Background: Intraoperatively acquired pressure ulcers are serious postsurgical complications requiring additional treatment, reoperation, and extended hospitalization. No study has investigated the frequency of the ulcers caused by compression with a pelvic positioner, which is used in hip surgeries to stabilize patients in the lateral decubitus position. Methods: This retrospective study investigated the risk factors and the frequency of the ulcers caused by the use of pelvic positioners in hip surgeries. The records of patients who underwent surgical procedures under general anesthesia at our insti...
Source: Patient Safety in Surgery - April 14, 2020 Category: Surgery Authors: Ueno T, Kabata T, Kajino Y, Inoue D, Ohmori T, Yoshitani J, Ueoka K, Yamamuro Y, Tsuchiya H Tags: Patient Saf Surg Source Type: research

Hemodynamic changes after spinal anesthesia in preeclamptic patients undergoing cesarean section at a tertiary referral center in Ethiopia: a prospective cohort study.
Abstract Background: Spinal anesthesia-induced maternal hypotension is the most frequent complication associated with maternal morbidity and mortality during Cesarean section. The aim of this study was to compare the incidence and magnitude of hemodynamic changes in preeclamptic and non-preeclamptic parturients undergone Cesarean section under spinal anesthesia. Method: A prospective cohort study was conducted from 01 February to 28 May 2019 in preeclamptic and non-preeclamptic parturients. We hypothesized preeclamptic parturients are at high risk of spinal anesthesia induced hypotension than non preeclamptic...
Source: Patient Safety in Surgery - April 10, 2020 Category: Surgery Authors: Alemayehu TY, Berhe YW, Getnet H, Molallign M Tags: Patient Saf Surg Source Type: research