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

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