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 22, 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 22, 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

Surgical site infection and pathogens in Ethiopia: a systematic review and meta-analysis.
Conclusions: The national prevalence of surgical site infection was high. The most common identified pathogen was Staphylococcus aureus. Followed by Escherichia coli, Klebsiella species, and Coagulase-Negative staphylococci. Strict adherence to surgical site infection prevention techniques needs to get more attention. PMID: 32110246 [PubMed - as supplied by publisher] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - March 1, 2020 Category: Surgery Authors: Birhanu Y, Endalamaw A Tags: Patient Saf Surg Source Type: research

Risk factors for liposomal bupivacaine resistance after total hip or knee arthroplasties: a retrospective observational cohort in 237 patients.
Conclusion: We identify risk factors for resistance to liposomal bupivacaine, which include younger age less than 64 years old, history of smoking/pain management/opioid use. Future studies should use these risk factors as exclusion criteria when using liposomal bupivacaine or initiating any randomized trials regarding efficacy. PMID: 32015758 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - February 6, 2020 Category: Surgery Authors: Buzin S, Gianakos AL, Li D, Viola A, Elkattawy S, Keller DM, Yoon RS, Liporace FA Tags: Patient Saf Surg Source Type: research

The value of Morbidity & Mortality (M & M) conferences in residency training: a proposed model from an academic medical center in Iran.
The value of Morbidity & Mortality (M&M) conferences in residency training: a proposed model from an academic medical center in Iran. Patient Saf Surg. 2020;14:5 Authors: Hassanpour K, Behnaz N, Fakhri M, Pakravan M PMID: 32002024 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - February 2, 2020 Category: Surgery Authors: Hassanpour K, Behnaz N, Fakhri M, Pakravan M Tags: Patient Saf Surg Source Type: research

Prevalence and root causes of surgical site infections at an academic trauma and burn center in Ethiopia: a cross-sectional study.
Conclusions: The prevalence of surgical site infection in the study population is still high. Preoperative hospital stay, pre-morbid illness, pre-operative and post-operative hospital stay, ASA score, and type of the wound were the independent predictors of surgical site infection. The duration of pre and post-operative periods should be kept to a minimum as much as possible. Patients with pre-morbid history of chronic diseases and contaminated wound require special attention to decrease the rate of occurrence of infections. In addition, longitudinal studies should be carried out to identify more risk factors. PMID: 3...
Source: Patient Safety in Surgery - January 11, 2020 Category: Surgery Authors: Mezemir R, Seid A, Gishu T, Demas T, Gize A Tags: Patient Saf Surg Source Type: research

Splenic injury severity, not admission hemodynamics, predicts need for surgery in pediatric blunt splenic trauma.
PMID: 31911819 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - January 10, 2020 Category: Surgery Authors: Teuben M, Spijkerman R, Teuber H, Pfeifer R, Pape HC, Kramer W, Leenen L Tags: Patient Saf Surg Source Type: research

The effect of discharge destination and primary insurance provider on hospital discharge delays among patients with traumatic brain injury: a multicenter study of 1,543 patients.
Conclusions: A substantial portion of TBI patients in this study experienced discharge delays, and discharge destination and primary insurance provider were significant drivers of these delays. Evaluation of a facility's quality of care should consider the specific causes of these delays. PMID: 31911820 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - January 10, 2020 Category: Surgery Authors: Sorensen M, Sercy E, Salottolo K, Waxman M, West TA, Tanner A, Bar-Or D Tags: Patient Saf Surg Source Type: research

Inter- and intraobserver agreement of three classification systems for lateral clavicle fractures - reliability comparison between two specialist groups.
Conclusions: The low inter- and intraobserver agreement levels exhibited in all three classification systems by both specialist groups suggest that the tested lateral clavicle fracture classification systems are unreliable and, therefore, of limited value. We should recognize there is considerable inconsistency in how physicians classify lateral clavicle fractures and therefore any conclusions based on these classifications should be recognized as being somewhat subjective. PMID: 31911821 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - January 10, 2020 Category: Surgery Authors: Rauer T, Boos M, Neuhaus V, Ellanti P, Kaufmann RA, Pape HC, Allemann F Tags: Patient Saf Surg Source Type: research

A descriptive survey on the use of resuscitative endovascular balloon occlusion of the aorta (REBOA) for pelvic fractures at US level I trauma centers.
Abstract Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is not widely adopted for pelvic fracture management. Western Trauma Association recommends REBOA for hemodynamically unstable pelvic fractures, whereas Eastern Association for the Surgery of Trauma and Advanced Trauma Life Support do not. Method: Utilizing a prospective cross-sectional survey, all 158 trauma medical directors at American College of Surgeons-verified Level I trauma centers were emailed survey invitations. The study aimed to determine the rate of REBOA use, REBOA indicators, and the treatment sequence of REB...
Source: Patient Safety in Surgery - December 22, 2019 Category: Surgery Authors: Jarvis S, Kelly M, Mains C, Corrigan C, Patel N, Carrick M, Lieser M, Banton K, Bar-Or D Tags: Patient Saf Surg Source Type: research

Summary of the International Patient Safety Conference, June 28-29, 2019, Kathmandu, Nepal.
Abstract Globally, medical errors are associated with an estimated $42 billion in costs to healthcare systems. A variety of errors in the delivery of healthcare have been identified by the World Health Organization and it is believed that about 50% of all errors are preventable. Initiatives to improve patient safety are now garnering increased attention across a range of countries in all regions of the world. From June 28--29, 2019, the first International Patient Safety Conference (IPSC) was held in Kathmandu, Nepal and attended by over 200 healthcare professionals as well as hospital, government, and non-governm...
Source: Patient Safety in Surgery - December 14, 2019 Category: Surgery Authors: Bajracharya DC, Karki K, Lama CY, Joshi RD, Rai SM, Jayaram S, Tomer A, Zervos J, Khan MI, Sapkota A, Upadhyaya MK, Kilgore PE Tags: Patient Saf Surg Source Type: research

Standardization of early drain removal following pancreatic resection: proposal of the "Ottawa pancreatic drain algorithm".
Conclusions: Implementing the OPDA was associated with earlier drain removal and decreased length of stay in patients undergoing distal pancreatectomy who did not develop POPF, without increased morbidity. Standardizing drain removal may help facilitate early drain removal after pancreatic resection at other institutions. PMID: 31827615 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - December 14, 2019 Category: Surgery Authors: Smith H, Balaa FK, Martel G, Abou Khalil J, Bertens KA Tags: Patient Saf Surg Source Type: research

Intramedullary reaming modality for management of postoperative long bone infection: a prospective randomized controlled trial in 44 patients.
Conclusion: This study concludes that the RIA system alone, is noninferior to conventional reaming followed by antibiotic cement spacer in the treatment of IMN infection. However, RIA shows greater efficacy in the collection of infected medullary bone tissue, mainly in cases of infected retrograde nail of the femur. Trial registration: ISRCTN82233198. Retroactively registered on July 29, 2019. PMID: 31827616 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - December 14, 2019 Category: Surgery Authors: Finelli CA, Dos Reis FB, Fernandes HA, Dell'Aquila A, Carvalho R, Miki N, Franciozi C, Abdalla R, Salles MJC Tags: Patient Saf Surg Source Type: research

Root causes and outcomes of postoperative pulmonary complications after abdominal surgery: a retrospective observational cohort study.
Conclusion: PPCs after abdominal surgery are still a major problem since they have profound effects on outcomes. Our results suggest that programs before surgery, involve preoperative lifestyle changes, such as nutritional supplementation, exercise, stress reduction, and smoking cessation, were an effective strategy in mitigating postoperative complications by decreasing mortality. PMID: 31827617 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - December 14, 2019 Category: Surgery Authors: Fernandes A, Rodrigues J, Lages P, Lança S, Mendes P, Antunes L, Santos CS, Castro C, Costa RS, Lopes CS, da Costa PM, Santos LL Tags: Patient Saf Surg Source Type: research

Prophylactic antibiotic bundle compliance and surgical site infections: an artificial neural network analysis.
Conclusions: SAP bundle compliance was associated with a lower incidence of SSI's. In an ANN model, inclusion of the SAP bundle compliance reduced sensitivity, but increased specificity of the prediction model. Preoperative WBC count had the most influence on the model. PMID: 31827618 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - December 14, 2019 Category: Surgery Authors: Walczak S, Davila M, Velanovich V Tags: Patient Saf Surg Source Type: research

Knowledge, attitude and practice of surgical staff towards preoperative surgical antibiotic prophylaxis at an academic tertiary hospital in Sudan.
Conclusion: Although the participants in this study showed a positive attitude towards antibiotic prophylaxis guidelines, their knowledge and strict adherence to a protocolized practice per WHO checklist should be improved in order to reduce the incidence of preventable surgical site infections. PMID: 31827619 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - December 14, 2019 Category: Surgery Authors: Ahmed AM, Nasr S, Ahmed AM, Elkhidir O Tags: Patient Saf Surg Source Type: research

Prevention of lymphedema via axillary reverse mapping for arm lymph-node preservation following breast cancer surgery: a randomized controlled trial.
Conclusions: Axillary reverse mapping is a minimally invasive technique that can be performed during axillary lymph-node dissection, helping to prevent the subsequent development of arm lymphedema. Trial registration: #SCURCTN3276, retrospectively registered on 11 April 2017 at Research Ethics Committee at the Faculty of medicine-Suez Canal University. PMID: 31807140 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - December 8, 2019 Category: Surgery Authors: Faisal M, Sayed MG, Antonious K, Abo Bakr A, Farag SH Tags: Patient Saf Surg Source Type: research

Chronic abdominal pain after laparoscopic hernia repair due to mesh graft migration to the cecum: a case report.
Conclusion: It is important to consider mesh graft migration to viscus as a cause of persistent abdominal pain and bleeding per rectum irrespective of the time of presentation post hernia repair. PMID: 31788028 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - December 5, 2019 Category: Surgery Authors: AlShammari A, Alyousef F, Alyousif A, Alsulabi Z, AlJishi F, Siraj I, Alotaibi H, Aburahmah M Tags: Patient Saf Surg Source Type: research

Patient safety awareness among 309 surgeons in Enugu, Nigeria: a cross-sectional survey.
Conclusion: The patient safety awareness and practice among the surgeons in Enugu, Nigeria is apparently low and this was found to be influenced by the professional status and years in service of the surgeon. PMID: 31673290 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - November 2, 2019 Category: Surgery Authors: Nwosu ADG, Onyekwulu FA, Aniwada EC Tags: Patient Saf Surg Source Type: research

Prevalence and root causes of surgical site infection among women undergoing caesarean section in Ethiopia: a systematic review and meta-analysis.
Conclusion: Prevalence of surgical site infection among women undergoing Caesarean section was relatively higher in Ethiopians compared with the report of center of disease control guideline. Prolonged labor, prolonged rupture of membrane, presence of anemia, chorioamnionitis, presence of meconium, vertical skin incision, greater than 2 cm thickness of subcutaneous tissue and/or general anesthesia were significantly associated with surgical site infection post-Caesarean section. PMID: 31673291 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - November 2, 2019 Category: Surgery Authors: Adane F, Mulu A, Seyoum G, Gebrie A, Lake A Tags: Patient Saf Surg Source Type: research

Current concepts of perioperative monitoring in high-risk surgical patients: a review.
Abstract A substantial number of patients are at high-risk of intra- or post-operative complications or both. Most perioperative deaths are represented by patients who present insufficient physiological reserve to meet the demands of major surgery. Recognition and management of critical high-risk surgical patients require dedicated and effective teams, capable of preventing, recognize, start treatment with adequate support in time to refer patients to the satisfactory ICU level provision. The main task for health-care planners and managers is to identify and reduce this severe risk and to encourage patient's safet...
Source: Patient Safety in Surgery - October 31, 2019 Category: Surgery Authors: Aseni P, Orsenigo S, Storti E, Pulici M, Arlati S Tags: Patient Saf Surg Source Type: research

Safety and efficacy of surgical fixation of fibula fractures using an intramedullary nail: a retrospective observational cohort study in 30 patients.
Conclusions: Our study demonstrates promising outcomes associated with intramedullary nail fixation of unstable fibula fractures. We recommend intramedullary nail fixation of fibula fractures to be a safe procedure with a low complication rate. Level of evidence: Level 4 retrospective case series. PMID: 31636710 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - October 24, 2019 Category: Surgery Authors: Boni G, Sanchez GT, Arliani G, Zelle BA, Pires RE, Dos Reis FB Tags: Patient Saf Surg Source Type: research

Clinical outcomes after carbon-plate osteosynthesis in patients with distal radius fractures.
Abstract Background: Surgical implant material has changed over time, from metal to stainless steel to titanium. In recent decades a new material, carbon-fibre-reinforced polyether ether ketone, has been introduced. The aim of this study was to assess the clinical and radiological feasibility and functional outcome after treatment of distal radius fractures with this new implant. Methods: Inclusion criteria: AO type B distal radius fractures treated with 2.7 mm CF/PEEK plates at one Level 1 trauma centre between 2016 and 2017. Follow-up period 1 year, measurement of range of motion and radiographic ass...
Source: Patient Safety in Surgery - September 15, 2019 Category: Surgery Authors: Allemann F, Halvachizadeh S, Rauer T, Pape HC Tags: Patient Saf Surg Source Type: research

Unintended retention of a ruptured radiopaque thread extending from the corner of a gauze during laparoscopy.
Abstract Small gauze is used in laparoscopy; therefore, retention of gauze can occur. We experienced a case of retention of a radiopaque thread that ruptured from a piece of gauze and moved into the peritoneum during a scheduled laparoscopy. The patient was a 65-year-old woman who underwent laparoscopic-assisted transverse colon resection for transverse colon cancer. A commercial gauze commonly used for laparoscopy was used during the surgery. To more easily identify the gauze during surgery, radiopaque threads extending up to 3.0 cm from the two diagonal corners of the gauze body were attached. After wound...
Source: Patient Safety in Surgery - September 12, 2019 Category: Surgery Authors: Oshima Y, Yamamoto O, Otsuki A, Tokunaga S, Ueda K, Inagaki Y Tags: Patient Saf Surg Source Type: research

Morbidity and mortality meetings to improve patient safety: a survey of 109 consultant surgeons in London, United Kingdom.
Conclusions: Many surgeons in London do not routinely attend M&M meetings, despite these occurring within 'protected time'. There may be a willingness to talk openly about complications, though there exists a fear of litigation. The nature, content and learning potential of such open M&M discussions should be explored in future research. PMID: 31452683 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - August 29, 2019 Category: Surgery Authors: Sinitsky DM, Gowda SB, Dawas K, Fernando BS Tags: Patient Saf Surg Source Type: research

Refining the predictive variables in the "Surgical Risk Preoperative Assessment System" (SURPAS): a descriptive analysis.
Conclusion: Refinements to SURPAS were successful in improving the accuracy of the models, while reducing manual entry to five of the eight variables. Adding a predictor variable to indicate a complex operation with multiple current procedure codes did not improve the accuracy of the models. We developed graphical displays of risk for providers and patients, including a take-home handout and automated documentation of risk in the electronic health record. These improvements should facilitate easier implementation of SURPAS. PMID: 31452684 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - August 29, 2019 Category: Surgery Authors: Henderson WG, Bronsert MR, Hammermeister KE, Lambert-Kerzner A, Meguid RA Tags: Patient Saf Surg Source Type: research

The prevalence and root causes of surgical site infections in public versus private hospitals in Ethiopia: a retrospective observational cohort study.
Conclusion: The prevalence of surgical site infections was high, and significant differences were also observed between public and private hospitals. Clean-contaminated and dirty wounds, prolonged operation, and length of hospital stay were predictors of surgical site infections among patients in public hospitals, whereas clean-contaminated wound and rural dwellings were predicted the infections among patients operated in the private hospital. PMID: 31333761 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - July 24, 2019 Category: Surgery Authors: Fisha K, Azage M, Mulat G, Tamirat KS Tags: Patient Saf Surg Source Type: research

Lack of informed consent for surgical procedures by elderly patients with inability to consent: a retrospective chart review from an academic medical center in Norway.
In this study, we investigated how surgeons recorded decisions in situations where the elderly patient's ability to provide a valid informed consent was questionable or clearly missing. Method: We investigated all medical records of patients admitted to surgical departments in a Norwegian large academic emergency hospital over a period of 38 days (approximately 5000 patients). We selected records of patients above the age of 70 (570 patients) and searched through these 570 medical records for any noted clear indications of inability to consent such as "do not understand", "confused" etc. (10...
Source: Patient Safety in Surgery - July 11, 2019 Category: Surgery Authors: Dahlberg J, Dahl V, Forde R, Pedersen R Tags: Patient Saf Surg Source Type: research

Technical limitations of REBOA in a patient with exsanguinating pelvic crush trauma: a case report.
Conclusion: REBOA can be a useful adjunct but there is a major limitation with potential vascular injury after pelvic trauma. In these situations, cross-clamping the proximal aorta or pre-peritoneal pelvic packing as "traditional" approaches of hemorrhage control during resuscitation may be the most considerable methods for temporary stabilization in severely injured trauma patients. More clinical and cadaveric studies are needed to further understand indications and limitations of REBOA after severe pelvic trauma. PMID: 31285757 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - July 11, 2019 Category: Surgery Authors: Özkurtul O, Staab H, Osterhoff G, Ondruschka B, Höch A, Josten C, Fakler JKM Tags: Patient Saf Surg Source Type: research

Reducing routine laboratory tests in patients with isolated extremity fractures: a prospective safety and feasibility study in 246 patients.
Abstract Background: Daily routine laboratory testing is unnecessary in most admitted patients. The opportunity to reduce daily laboratory testing in orthopaedic trauma patients has not been previously investigated. Methods: A prospective observational study was performed based on a new laboratory testing reduction protocol for 12 months at two tertiary care trauma centers. Admitted patients with surgically treated isolated upper or lower extremity fractures were included (n = 246). The testing protocol consisted of a complete blood count (CBC) and basic metabolic panel (BMP) on postopera...
Source: Patient Safety in Surgery - June 30, 2019 Category: Surgery Authors: Amin RM, Loeb AE, Hasenboehler EA, Levin AS, Osgood GM, Sterling RS, Stahel PF, Shafiq B Tags: Patient Saf Surg Source Type: research

Variability in the timeliness of interventional radiology availability for angioembolization of hemodynamically unstable pelvic fractures: a prospective survey among U.S. level I trauma centers.
Conclusions: Trauma medical directors should review literature and guidelines on time to angioembolization, their arrival times for IR, and their procedural setup times for angioembolization to ensure utilization of angioembolization in an optimal sequence for patient survival. PMID: 31249625 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - June 30, 2019 Category: Surgery Authors: Jarvis S, Orlando A, Blondeau B, Banton K, Reynolds C, Berg GM, Patel N, Kelly M, Carrick M, Bar-Or D Tags: Patient Saf Surg Source Type: research

Extravasation of fluid in arthroscopic shoulder surgery requiring prolonged intubation: a case report.
Conclusion: This case highlights the risk factors and clinical course of a patient with airway compromise caused by extravasation of fluid during shoulder arthroscopy. Although shoulder arthroscopy is a safe procedure, surgeon familiarity with the risk factors for this complication and close monitoring can aid in its identification and allow for appropriate treatment. PMID: 31205484 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - June 19, 2019 Category: Surgery Authors: Vier BR, Mombell KW, Gagliano EL, King NM, McDonald LS Tags: Patient Saf Surg Source Type: research

The Boston technique for acute point-of-care single-practitioner fracture stabilization of the lower extremity.
In this report, we describe the novel single-practitioner technique utilized at our institution for acute point-of-care temporizing management of lower extremity fractures. The Boston technique: The patient is placed supine at the edge of the hospital bed. The injured extremity is suspended from an intravenous pole in 45° of hip abduction and 30° of hip flexion. Neutral rotation is adequately maintained due to suspension through the great and second toes, without the need for patient participation. A plaster cast is applied in the usual manner and allowed to dry. Once dry, the cast is bivalved per our standard...
Source: Patient Safety in Surgery - May 24, 2019 Category: Surgery Authors: Parisien RL, McAlpine KJ Tags: Patient Saf Surg Source Type: research

Impact of the surgical modality for axillary lymph node dissection on postoperative drainage and seroma formation after total mastectomy.
Conclusions: The surgical procedure for axillary lymph node dissection should be considered to avoid prolonged fluid discharge, and the lymph vessels should be ligated in axillary lymph node dissection. An ultrasonic dissector was not effective in reducing the total fluid discharge volume. An optimal axillary lymph node dissection technique should be developed. For the patients without drainage, careful postoperative treatment should be given to avoid infectious seroma formation, even for patients who underwent total mastectomy with sentinel lymph node retrieval. PMID: 31114633 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - May 24, 2019 Category: Surgery Authors: Isozaki H, Yamamoto Y, Murakami S, Matsumoto S, Takama T Tags: Patient Saf Surg Source Type: research

Preoperative anxiety among adult patients undergoing elective surgery: a prospective survey at a general hospital in Ethiopia.
The objective of this study was to investigate the prevalence of preoperative anxiety and its predictors among adult patients scheduled for elective surgery. Methodology: Institutional based cross sectional study was conducted using interviewer administered structured questionnaire in Yirgalem zonal hospital in Ethiopia from November 1, to December 30, 2018 on 407 patients scheduled for elective surgery. The study included all patients with age greater than 18 years who were undergoing surgery. Patients with known anxiety disorder and unable to communicate were excluded from the study. State and trait anxiety i...
Source: Patient Safety in Surgery - April 24, 2019 Category: Surgery Authors: Bedaso A, Ayalew M Tags: Patient Saf Surg Source Type: research

Surgical management of intramuscular hemangioma of the foot: a case report.
Conclusion: Intramuscular hemangiomas are rare occurrences. Steroid injection and sclerotherapy are effective non-operative methods. Complete excision of isolated hemangioma lesions allows definite diagnosis with no recurrence. PMID: 30962823 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - April 11, 2019 Category: Surgery Authors: Lahrach K, Abdulrazak S, Marzouki A, Boutayeb F Tags: Patient Saf Surg Source Type: research

Breast cancer involvement of the nipple-areola complex and implications for nipple-sparing mastectomies: a retrospective observational study in 137 patients.
Conclusion: The incidence of NAC affection among breast carcinoma patients who underwent mastectomy and axillary clearance was associated with important parameters, such as tumor size, areola edge-tumor distance, lymph node affection, hormonal receptor status and lymphovascular invasion. Accordingly, NAC-preserving surgeries could be tailored to patients with favourable tumor characteristics. PMID: 30923569 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - March 31, 2019 Category: Surgery Authors: Faisal M, Fathy H, Gomaa AMM, Abd-Elzaher H, Ahmed MAH, Sayed MG Tags: Patient Saf Surg Source Type: research