Improving detection of intraoperative medical errors (iMEs) and intraoperative adverse events (iAEs) and their contribution to postoperative outcomes.
Approach to Improving Safety
Setting of Care
In this study, researchers analyzed 245 intraoperative errors and adverse events reported by physicians through both surgical debriefings and the hospital's incident reporting system. They found a positive association between the presence of intraoperative events and increased postoperative morbidity for patients. In keeping with prior research, the authors conclude that using multiple sources of data provided a more comprehensive picture of safety during surgery.