Detecting adverse events in dermatologic surgery

Dermatologic Surgery

Volumn 36, Issue 1, 2010, Pages 8-14

  Pinney, Daniel ^a   Pearce, Daniel J ^a   Feldman, Steven R ^a  

^a WAKE FOREST SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADVERSE OUTCOME; ARTICLE; HEALTH PROGRAM; HUMAN; INFORMATION PROCESSING; INFORMATION RETRIEVAL; INTERMETHOD COMPARISON; MEDICAL RECORD REVIEW; MEDLINE; MORBIDITY; MORTALITY; PATIENT MONITORING; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; PROSPECTIVE STUDY; QUALITY CONTROL; RETROSPECTIVE STUDY; RISK ASSESSMENT; SKIN SURGERY; SURGICAL MORTALITY; SURGICAL PATIENT; SURGICAL TECHNIQUE;

DERMATOLOGY; HUMANS; MEDICAL AUDIT; OUTCOME ASSESSMENT (HEALTH CARE); QUALITY ASSURANCE, HEALTH CARE; RESEARCH DESIGN; SAFETY MANAGEMENT; SKIN; SURGICAL PROCEDURES, OPERATIVE;

EID: 73549113757     PISSN: 10760512     EISSN: 15244725     Source Type: Journal    
DOI: 10.1111/j.1524-4725.2009.01378.x     Document Type: Article

References (26)

1. Brennan TA, Leape LL, Laird NM, et al. Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. N Engl J Med 1991 324 : 370 376.
2. Gawande AA, Thomas EJ, Zinner MJ, Brennan TA. The incidence and nature of surgical adverse events in Colorado and Utah in 1992. Surgery 1999 126 : 66 75.
3. Cook JL, Perone JB. A prospective evaluation of the incidence of complications associated with Mohs micrographic surgery. Arch Dermatol 2003 139 : 143 152.
4. Coldiron BM, Healy C, Bene NI. Office surgery incidents: what seven years of Florida data show us. Dermatol Surg 2008 34 : 285 291.
5. Dixon AJ, Dixon MP, Askew DA, Wilkinson D. Prospective study of wound infections in dermatologic surgery in the absence of prophylactic antibiotics. Dermatol Surg 2006 32 : 819 826.
6. Murayama KM, Derossis AM, DaRosa DA, et al. A critical evaluation of the morbidity and mortality conference. Am J Surg 2002 183 : 246 250.
7. Feldman L, Barkun J, Barkun A, et al. Measuring postoperative complications in general surgery patients using an outcomes-based strategy: comparison with complications presented at morbidity and mortality rounds. Surgery 1997 122 : 711 719.
8. Morris JA Jr., Carrillo Y, Jenkins JM, et al. Surgical adverse events, risk management, and malpractice outcome: morbidity and mortality review is not enough. Ann Surg 2003 237 : 844 851.
9. Hutter MM, Rowell KS, Devaney LA, et al. Identification of surgical complications and deaths: an assessment of the traditional surgical morbidity and mortality conference compared with the American College of Surgeons-National Surgical Quality Improvement Program. J Am Coll Surg 2006 203 : 618 624.
10. Michel P, Quenon JL, de Sarasqueta AM, Scemama O. Comparison of three methods for estimating rates of adverse events and rates of preventable adverse events in acute care hospitals. BMJ 2004 328 : 199.
11. Marang-van de Mheen PJ, van HN, Kievit J. Effectiveness of routine reporting to identify minor and serious adverse outcomes in surgical patients. Qual Saf Health Care 2005 14 : 378 382.
12. O'Neil AC, Petersen LA, Cook EF, et al. Physician reporting compared with medical-record review to identify adverse medical events. Ann Intern Med 1993 119 : 370 376.
13. Griffin FA, Classen DC. Detection of adverse events in surgical patients using the Trigger Tool approach. Qual Saf Health Care 2008 17 : 253 258.
14. Resar RK, Rozich JD, Simmonds T, Haraden CR. A trigger tool to identify adverse events in the intensive care unit. Jt Comm J Qual Patient Saf 2006 32 : 585 590.
15. Sharek PJ, Horbar JD, Mason W, et al. Adverse events in the neonatal intensive care unit: development, testing, and findings of an NICU-focused trigger tool to identify harm in North American NICUs. Pediatrics 2006 118 : 1332 1340.
16. Takata GS, Mason W, Taketomo C, et al. Development, testing, and findings of a pediatric-focused trigger tool to identify medication-related harm in US children's hospitals. Pediatrics 2008 121 : e927 e935.
17. Classen DC, Pestotnik SL, Evans RS, Burke JP. Computerized surveillance of adverse drug events in hospital patients. JAMA 1991 266 : 2847 2851.
18. Rozich JD, Haraden CR, Resar RK. Adverse drug event trigger tool: a practical methodology for measuring medication related harm. Qual Saf Health Care 2003 12 : 194 200.
19. Pietrobon R, Lima R, Shah A, et al. Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-miss surgical events. Ann Surg Innov Res 2007 1 : 5.
20. Khuri SF, Daley J, Henderson W, et al. The Department of Veterans Affairs' NSQIP: the first national, validated, outcome-based, risk-adjusted, and peer-controlled program for the measurement and enhancement of the quality of surgical care. National VA Surgical Quality Improvement Program. Ann Surg 1998 228 : 491 507.
21. Khuri SF. The NSQIP: a new frontier in surgery. Surgery 2005 138 : 837 843.
22. Khuri SF, Henderson WG, Daley J, et al. Successful implementation of the Department of Veterans Affairs' National Surgical Quality Improvement Program in the private sector: the patient safety in surgery study. Ann Surg 2008 248 : 329 336.
23. Miller DC, Filson CP, Wallner LP, et al. Comparing performance of Morbidity and Mortality Conference and National Surgical Quality Improvement Program for detection of complications after urologic surgery. Urology 2006 68 : 931 937.
24. Leape LL. Error in medicine. JAMA 1994 272 : 1851 1857.
25. Caplan RA, Posner KL, Cheney FW. Effect of outcome on physician judgments of appropriateness of care. JAMA 1991 265 : 1957 1960.
26. Apolito RA, Greenberg MA, Menegus MA, et al. Impact of the New York State Cardiac Surgery and Percutaneous Coronary Intervention Reporting System on the management of patients with acute myocardial infarction complicated by cardiogenic shock. Am Heart J 2008 155 : 267 273.