Would You Defend This Complication?

Chapter

Abstract

Complications in surgery are common. They often originate from preventable errors in communication. In this chapter, we review specific case examples that lead to a complication and identify what could have been done differently to prevent them.

Keywords

Obesity Catheter Manifold Pneumonia Heparin 

References

  1. 1.
    Chow WB, Rosenthal RA, Merkow RP, Ko CY, Esnaola NF. Optimal preoperative assessment of the geriatric surgical patient. J Am Coll Surg. 2012;215(4):453–66.PubMedCrossRefGoogle Scholar
  2. 2.
    Symons NR, Almoudaris AM, Nagpal K, Vincent CA, Moorthy K. An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery. Ann Surg. 2013;257(1):1–5.PubMedCrossRefGoogle Scholar
  3. 3.
    Hu YY, Arriaga A, Roth ER, Peyre SE, Swanson RS, Osteen RT, Schmidt P, Bader AM, Zinner MJ, Greenberg CC. Protecting patients from an unsafe system. J Am Coll Surg. 2011;213(3):S111.CrossRefGoogle Scholar
  4. 4.
    Brenner LH, Brenner AT. Beyond informed consent: educating the patient. Clin Orthop Relat Res. 2009;467:348–51.PubMedCentralPubMedCrossRefGoogle Scholar
  5. 5.
    Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat AH, Dellinger EP, Herbosa T, Joseph S, Kibatala PL, Lapitan MC, Merry AF, Moorthy K, Reznick RK, Taylor B, Gawande AA, Safe Surgery Saves Lives Study Group. A surgical safety checklist to reduce morbidity and mortality in a global polulation. N Engl J Med. 2009;360:491–9.PubMedCrossRefGoogle Scholar
  6. 6.
    Stahel PF, Sabel AF, Victoroff MS, Varnell JL, Lembitz AL, Boyle DJ, Clarke TJ, Smith WR, Mehler PS. Wrong-site and wrong patient procedures in the universal protocol era: analysis of a prospective database of physician self-reported occurrences. Arch Surg. 2010;145(10):978–84.PubMedCrossRefGoogle Scholar
  7. 7.
    Mehtsun WT, Ibrahim AM, Diener-West M, Pronovost PJ, Makary MA. Surgical never events in the United States. Surgery. 2013;153(4):465–72.PubMedCrossRefGoogle Scholar
  8. 8.
    Conley DM, Singer SJ, Edmondson L, Berry WR, Gaweande AA. Effective surgical safety checklist implementation. J Am Coll Surg. 2011;212(5):873–8.PubMedCrossRefGoogle Scholar
  9. 9.
    Fourcade A, Blache JL, Grenier C, Bourgain JL, Minvielle E. Barriers to staff adoption of a surgical safety checklist. BMJ Qual Saf. 2011;21:191–7.PubMedCentralPubMedCrossRefGoogle Scholar
  10. 10.
    Regenbogen SE, Greenberg CC, Studdert DM, Lipsitz SR, Zinner MJ, Gawande AA. Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injuries to surgical patients. Ann Surg. 2007;246(5):705–11.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London 2014

Authors and Affiliations

  1. 1.Department of Patient Safety and Risk ManagementCOPIC Insurance CosDenverUSA
  2. 2.Department of SurgeryUniversity of Colorado School of MedicineDenverUSA

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