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Preventable morbidity and mortality among non-trauma emergency surgery patients: the role of personal performance and system flaws in adverse events.
May 12, 2021
Velmahos CS, Kokoroskos N, Tarabanis C, et al. World J Surg. 2021;45(3):690-696.
The authors retrospectively reviewed records for 150 patients undergoing emergency surgery who experienced a preventable complication and/or death. The most common preventable complication was surgical site infections. The majority of complications were attributed to personal performance (technical or judgement issues) and a small proportion (3%) were attributed to systemic issues, such as poor communication or inadequate protocols.
