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Review
Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative deaths at an academic medical center.
June 21, 2023
Cohen TN, Kanji FF, Wang AS, et al. Am J Surg. 2023;226(3):315-321.
Intraoperative deaths are rare, catastrophic events. This retrospective review of 154 intraoperative deaths occurring between March 2010 and August 2022 at one academic medical center found that most deaths occurred during emergency procedures. Common contributing factors included coordination challenges, skill-based errors, and environmental factors.
