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Performance variability in perioperative sentinel events: report on a nationwide data set.

Reijmerink IM, Bos K, Leistikow IP, et al. Performance variability in perioperative sentinel events: report on a nationwide data set. Br J Surg. Epub 2022 Apr 4. doi: 10.1093/bjs/znac067

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April 20, 2022
Reijmerink IM, Bos K, Leistikow IP, et al. Br J Surg. 2022;Epub Apr 4.

Organizational, environmental, and work-related factors can contribute to performance variations and human error during healthcare delivery. This study examined perioperative sentinel events reported to a Dutch database over a one-year period. It found that although performance variability continued in almost all events, it was rarely explicitly mentioned in incident reports or represented in resulting improvement measures. The authors suggest that explicitly addressing performance variability in sentinel event analyses can lead to more effective improvement measures that account for human performance in healthcare.

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Reijmerink IM, Bos K, Leistikow IP, et al. Performance variability in perioperative sentinel events: report on a nationwide data set. Br J Surg. Epub 2022 Apr 4. doi: 10.1093/bjs/znac067