Risk Factors and Epidemiology of Surgical Safety
Millions of people are admitted to hospitals every year; about one-third of admissions are for a surgical procedure; unfortunately, some patients experience adverse events, resulting in harm or even death. This chapter presents an overview on ways to define and classify harm, methods to assess the scale of harm, estimates of actual harm, solutions to prevent errors and harm in the perioperative area, and approaches to the surveillance and monitoring of surgical safety. It concludes that in order to support the improvement of quality and safety in surgery, a stronger focus on the upstream determinants of safety is needed.
KeywordsEpidemiology Harm Retrospective case record review Administrative data Patient safety practices
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