Urology never events in the United Kingdom: A retrospective 10-year review

IF 1.6 Q3 UROLOGY & NEPHROLOGY
BJUI compass Pub Date : 2024-02-01 DOI:10.1002/bco2.331
Jerocin Vishani Loyala, Andrew Ang, Billy Down, Sarah A. Howles
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Abstract

Objectives

The aim was to assess the prevalence of never events (NEs) specific to urology in the United Kingdom and identify commonly occurring themes.

Methods

Data from the National Health Service (NHS) NEs website were obtained and all NEs from 2012 to 2022 were reviewed. Urology-specific NEs were identified and further analysed in their respective categories. Data regarding the total number of surgical procedures performed in the NHS specific to each specialty were obtained via the NHS Hospital Episode Statistics website.

Results

There were 3972 NEs recorded over the 10-year period with 95 (2.4%) of these as a result of urology surgery. The most common surgical intervention associated with a urological NE was ureteric stenting, which comprised 45/95 (47.4%) of all analysed NEs. These consisted of wrong site ureteric stent insertion (n = 29), wrong site ureteric stent removal (n = 9), wrong stent type (n = 5) and retained guidewires (n = 2). There were 7.14 million urology surgeries performed in the 10-year period, and prevalence was 0.0013%.

Conclusion

NEs are fully preventable serious incidents in the NHS. This is the first study to investigate the prevalence of NEs in urology in the United Kingdom. This study demonstrates that in the last 10 years the prevalence of urology NEs is low at 0.0013%, with ureteric stent procedures accounting for more than half of the NEs. Urologists should be mindful of the potential for wrong site surgery in urologic stenting procedures.

Abstract Image

英国泌尿外科从未发生的事件:十年回顾
该研究旨在评估英国泌尿外科特有的从未发生事件(NEs)的发生率,并确定常见的发生主题。研究人员从英国国家医疗服务系统(NHS)从未发生事件网站获取数据,并对 2012 年至 2022 年的所有从未发生事件进行了回顾。我们从英国国家医疗服务系统(NHS)的NEs网站获取数据,并对2012年至2022年的所有NEs进行了审查。通过英国国家医疗服务系统(NHS)医院病例统计网站,我们获得了英国国家医疗服务系统(NHS)各专科手术总数的相关数据。与泌尿科NE相关的最常见手术干预是输尿管支架植入术,占所有分析NE的45/95(47.4%)。其中包括输尿管支架插入部位错误(29 例)、输尿管支架移除部位错误(9 例)、支架类型错误(5 例)和导丝滞留(2 例)。十年间共进行了 714 万例泌尿外科手术,发生率为 0.0013%。这是第一项调查英国泌尿外科NE发生率的研究。这项研究表明,在过去 10 年中,泌尿科 NEs 的发生率较低,仅为 0.0013%,其中输尿管支架手术占 NEs 的一半以上。泌尿科医生应注意泌尿科支架手术中可能出现的错误部位手术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.30
自引率
0.00%
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0
审稿时长
12 weeks
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