Patient Safety in Surgery最新文献

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Surgeons' physiological parameters and surgical performance: a systematic scoping review. 外科医生的生理参数和手术表现:一个系统的范围审查。
IF 2.1
Patient Safety in Surgery Pub Date : 2025-10-01 DOI: 10.1186/s13037-025-00445-z
Léa Pascal, Simon Ducarroz, Sarah C Skinner, Quentin Cordier, Jean-Christophe Lifante, Stéphanie Mazza, Antoine Duclos
{"title":"Surgeons' physiological parameters and surgical performance: a systematic scoping review.","authors":"Léa Pascal, Simon Ducarroz, Sarah C Skinner, Quentin Cordier, Jean-Christophe Lifante, Stéphanie Mazza, Antoine Duclos","doi":"10.1186/s13037-025-00445-z","DOIUrl":"10.1186/s13037-025-00445-z","url":null,"abstract":"","PeriodicalId":46782,"journal":{"name":"Patient Safety in Surgery","volume":"19 1","pages":"27"},"PeriodicalIF":2.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487490/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anatomic reference measures for central airway anatomy in Indian adults: implications for precision airway management in surgical patient safety. 印度成人中央气道解剖的解剖学参考措施:手术患者安全中精确气道管理的意义。
IF 2.1
Patient Safety in Surgery Pub Date : 2025-10-01 DOI: 10.1186/s13037-025-00450-2
Purnima Adhikari, Chandni Gupta, Koteshwara Prakashini, Rahul Magazine, Mohan K Manu, Santa Kumar Das, Sharma Paudel
{"title":"Anatomic reference measures for central airway anatomy in Indian adults: implications for precision airway management in surgical patient safety.","authors":"Purnima Adhikari, Chandni Gupta, Koteshwara Prakashini, Rahul Magazine, Mohan K Manu, Santa Kumar Das, Sharma Paudel","doi":"10.1186/s13037-025-00450-2","DOIUrl":"10.1186/s13037-025-00450-2","url":null,"abstract":"<p><strong>Background: </strong>Despite the critical role of central airway dimensions in clinical practice, comprehensive normative data remain scarce globally, particularly for diverse ethnic populations. This study aims to establish the first high-resolution computed tomography (HRCT) based reference values for tracheobronchial anatomy in Indian adults, addressing a significant gap in precision medicine.</p><p><strong>Methods: </strong>This retrospective cross-sectional study was conducted at Kasturba Hospital, Manipal, India. HRCT chest scans performed between January 1, 2021, and March 31, 2024, were screened, and 503 adults (277 males, 226 females; aged 20-80 years) with normal findings were included. Primary outcomes were normative tracheal and bronchial dimensions (lengths, diameters, cross-sectional areas). Secondary outcomes included age and gender-based variations, correlations with demographics, and predictive models for airway device selection. Inclusion criteria were HRCT scans with normal thoracic findings and adequate inspiratory effort. Exclusion criteria included thoracic, pulmonary or cardiac abnormalities, prior airway surgery, presence of airway devices, or severe imaging artifacts. Data were analysed using t-test, one-way ANOVA, Pearson correlations, and multiple linear regression. Statistical significance was set at p < 0.05.</p><p><strong>Results: </strong>Indian males exhibited significantly larger airways than females (tracheal length: 109.5 ± 8.9 mm vs. 100.5 ± 7.4 mm, p < 0.001; distal tracheal area: 311.3 ± 111.1 mm² vs. 227.6 ± 92.9 mm², p < 0.001). Notably, 54.5% of subjects had a more vertical left bronchus, contradicting classical anatomical dogma. High rates of short right main bronchi (< 23 mm) were observed in 49.5% of subjects, increasing the risk of double-lumen endobronchial tube misplacement. The distal tracheal diameter was strongly correlated with bronchial dimensions (r = 0.621, p < 0.001), providing evidence-based device selection.</p><p><strong>Conclusion: </strong>This study provides the first population-specific normative data for central airway dimensions in Indian adults, revealing profound ethnic variations with immediate clinical implications for airway management, thoracic surgery, and personalised medical device design. The findings underscore the necessity of region-specific reference standards to optimise patient safety and highlight the influence of ethnicity on airway anatomy.</p>","PeriodicalId":46782,"journal":{"name":"Patient Safety in Surgery","volume":"19 1","pages":"26"},"PeriodicalIF":2.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Classification-based treatment of periprosthetic fractures around total elbow arthroplasty: a systematic review and meta-analysis. 全肘关节置换术前后假体周围骨折的分类治疗:一项系统回顾和荟萃分析。
IF 2.1
Patient Safety in Surgery Pub Date : 2025-09-30 DOI: 10.1186/s13037-025-00447-x
Lara Zankena, Lisa Luna Beck, Christian Hierholzer, Hans-Christoph Pape, Sascha Halvachizadeh, Florin Allemann
{"title":"Classification-based treatment of periprosthetic fractures around total elbow arthroplasty: a systematic review and meta-analysis.","authors":"Lara Zankena, Lisa Luna Beck, Christian Hierholzer, Hans-Christoph Pape, Sascha Halvachizadeh, Florin Allemann","doi":"10.1186/s13037-025-00447-x","DOIUrl":"10.1186/s13037-025-00447-x","url":null,"abstract":"<p><strong>Introduction: </strong>Treatment of periprosthetic fractures around the elbow remains a challenge. The goal of this study was to present classification-based treatment strategies of periprosthetic fractures around elbow prosthesis.</p><p><strong>Methods: </strong>This study was designed as a systematic review and meta-analysis of published articles in English or German language that investigated classification systems and treatment strategies of fractures around elbow prosthesis without timeframe limitations. Articles without full-text availability were excluded. The search included the following data bases: Medline, EMBASE, Cochrane and Web of Science (WoS). The fractures where classified according to the most commonly utilized classification system. Outcome parameters included follow-up time, bone union and range of motion. After deduplication title and abstract screening and full-text analyses were performed by two independent researchers. Risk of bias assessment was performed with the Revised Cochrane risk of bias tool (ROBINS 1) for non-randomized studies.</p><p><strong>Results: </strong>This systematic review included 26 articles that included 11 reviews (42.3%), 12 case reports (46.1%) and 3 (11.6%) cohort studies. In total 85 patients were included with a mean age of 68.7 (SD 11.1) years. Most patients were female (n = 61, 73.5%). Fractures were all classified according to Mayo classification. In most reports, type 1 fractures without stem loosening were treated non-operatively, type 2 and 3 fractures without stem loosening with fracture fixation, type 2 fractures with stem loosening with revision arthroplasty. The time to bone union was comparable in fracture fixation versus revision surgery (18.2, SD 9.4 weeks vs. 12.3, SD 5.4 weeks, p = 0.294). The degree/ (or range) of extension was comparable in both groups (9.8, SD 11.2° versus 17.4, SD 16.6°, p = 0.335). The degree of flexion was comparable in both groups (117.5, SD 15.1° versus 127.9, SD 10.3°, p = 0.335).</p><p><strong>Conclusion: </strong>Treatment of periprosthetic fractures around elbow arthroplasty remains a challenge. The treatment strategy is based on the location of the fracture and the stability of the elbow prosthesis. The lack of high-quality research prohibits a final evidence- based recommendation for the treatment of periprosthetic fractures around the elbow.</p>","PeriodicalId":46782,"journal":{"name":"Patient Safety in Surgery","volume":"19 1","pages":"25"},"PeriodicalIF":2.1,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Viewing patient safety in surgery through the lens of a theatrical performance: a narrative review. 从戏剧表演的角度看手术中的病人安全:一种叙事回顾。
IF 2.1
Patient Safety in Surgery Pub Date : 2025-09-02 DOI: 10.1186/s13037-025-00448-w
Saeid Amini Rarani
{"title":"Viewing patient safety in surgery through the lens of a theatrical performance: a narrative review.","authors":"Saeid Amini Rarani","doi":"10.1186/s13037-025-00448-w","DOIUrl":"10.1186/s13037-025-00448-w","url":null,"abstract":"<p><strong>Background: </strong>In the high-stakes environment of the operating room (OR), patient safety depends not only on technical expertise but also on seamless communication, clear roles, and coordinated teamwork. Traditional approaches often overlook the relational and performative dimensions of surgical care.</p><p><strong>Methods: </strong>This narrative article proposes a metaphorical framework that compares surgical practice to live theater, where each team member plays a rehearsed role, and protocols act as scripts. The study explores key themes such as preparation (rehearsals), intraoperative coordination (live performance), and structured debriefing (curtain call). The aim is to synthesize knowledge from clinical literature and human factors theory to provide a novel interpretive framework for improving patient safety in the operating room (OR). A selective literature review was conducted focusing on peer-reviewed publications related to surgical teamwork, communication, safety checklists, and non-technical skills. Sources were identified through PubMed and Google Scholar using relevant terms such as \"surgical safety,\" \"human factors in surgery,\" and \"team communication.\"</p><p><strong>Results: </strong>The metaphorical framework reveals that each member of the OR team-from the surgeon to the scrub nurse-is reimagined as a theatrical role, with their contribution being essential to the surgical outcome. Key concepts such as simulation training, checklists, psychological safety, and mutual accountability are highlighted as critical tools for enhancing performance and reducing preventable harm. The study emphasizes the importance of clear role definitions, team coordination, and continuous learning, similar to a theater production's preparation, performance, and reflection stages.</p><p><strong>Conclusion: </strong>Viewing the OR through the lens of theater offers a novel, human-centered model for improving surgical safety. This conceptual framework promotes structured teamwork, shared mental models, and a culture where every action is intentional and every role is respected ensuring that each surgical performance prioritizes the patient's well-being above all.</p>","PeriodicalId":46782,"journal":{"name":"Patient Safety in Surgery","volume":"19 1","pages":"23"},"PeriodicalIF":2.1,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12403911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predictors of early arteriovenous fistula failure in patients with end stage renal disease on hemodialysis: a systematic review and meta-analysis. 终末期肾病血液透析患者早期动静脉瘘失效的预测因素:系统回顾和荟萃分析
IF 2.1
Patient Safety in Surgery Pub Date : 2025-09-02 DOI: 10.1186/s13037-025-00449-9
Solafa S M Salih, Khalid O Mohamed, Abdalla O O Mohamedali, Ahmed A O Mahmoud, Duaa A S Ibrahim, Khadeja F Abdallah, Mohamed S K Salih, Aseel E B Abdhameed, Nehal S A Salih, Khalid S K Salih, Samia I E Mursal, Ahmed S E E Abdelrahman, Ayoub A B Mohamed, Yusra E A Elmobashir, Amgad I A Mohamed, Sagad O O Mohamed
{"title":"Predictors of early arteriovenous fistula failure in patients with end stage renal disease on hemodialysis: a systematic review and meta-analysis.","authors":"Solafa S M Salih, Khalid O Mohamed, Abdalla O O Mohamedali, Ahmed A O Mahmoud, Duaa A S Ibrahim, Khadeja F Abdallah, Mohamed S K Salih, Aseel E B Abdhameed, Nehal S A Salih, Khalid S K Salih, Samia I E Mursal, Ahmed S E E Abdelrahman, Ayoub A B Mohamed, Yusra E A Elmobashir, Amgad I A Mohamed, Sagad O O Mohamed","doi":"10.1186/s13037-025-00449-9","DOIUrl":"10.1186/s13037-025-00449-9","url":null,"abstract":"<p><strong>Background: </strong>Hemodialysis is the most prevalent modality of renal replacement therapy. The durability of hemodialysis and its quality depend on consistent and reliable access to the patient's vascular system. In this systematic review we provide a comprehensive analysis of the predictors of primary arteriovenous fistula failure.</p><p><strong>Methods: </strong>A systematic search was conducted in PubMed, Web of Science, ScienceDirect, and the WHO Virtual Health Library Regional Portal from database inception through March 2025. Search terms included combinations of 'arteriovenous fistula', 'failure', 'hemodialysis', 'end-stage renal disease', and 'risk factors'. Four reviewers independently screened titles and abstracts, with full texts assessed according to predefined inclusion criteria. Studies were eligible if they examined risk factors for primary arteriovenous fistula failure in adult patients on hemodialysis.</p><p><strong>Results: </strong>A total of 38 studies were included in the systematic review. Early arteriovenous fistula failure was significantly associated with a distal location of the fistula, small arterial diameter, small vein diameter, low serum albumin level, female gender, diabetes mellitus, and decreased systolic and diastolic blood pressure.</p><p><strong>Conclusion: </strong>This systematic review identified several key risk factors for early arteriovenous fistula failure in patients with end-stage renal disease (ESRD) undergoing hemodialysis. These factors should be considered from a patient safety perspective and included in the shared decision-making process with patients who are candidates for arteriovenous fistula surgery. Optimizing these factors may enhance fistula maturation and reduce the need for repeat vascular access procedures. However, recognizing that some risk factors may not be readily modifiable in ESRD patients, clinicians should balance optimization efforts with the urgency of establishing vascular access.</p>","PeriodicalId":46782,"journal":{"name":"Patient Safety in Surgery","volume":"19 1","pages":"24"},"PeriodicalIF":2.1,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12403630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgical safety checklist implementation in a post-armed conflict country with limited resources: the Somali experience. 在资源有限的武装冲突后国家实施手术安全检查表:索马里的经验。
IF 2.1
Patient Safety in Surgery Pub Date : 2025-08-26 DOI: 10.1186/s13037-025-00444-0
Abdullahi Hassan Elmi, Ahmed Omar Abdi, Rayaan Abdirahman Hassan
{"title":"Surgical safety checklist implementation in a post-armed conflict country with limited resources: the Somali experience.","authors":"Abdullahi Hassan Elmi, Ahmed Omar Abdi, Rayaan Abdirahman Hassan","doi":"10.1186/s13037-025-00444-0","DOIUrl":"10.1186/s13037-025-00444-0","url":null,"abstract":"<p><p>Surgical safety remains a critical yet often overlooked priority in low-resource countries, particularly in post-armed conflict settings like Somalia. Decades of instability have left the Somali healthcare system fragmented and severely under-resourced, contributing to a high burden of avoidable surgical complications and perioperative mortality. In response to these challenges, the World Health Organization (WHO) developed the Surgical Safety Checklist (SSC), a globally recognized tool designed to reduce surgical harm, enhance communication, and foster teamwork in operating theatres. Although widely adopted in many health systems, evidence on its implementation and effectiveness in Somalia has been notably absent. The country's unique constraints, including inadequate infrastructure, variable clinical training, and fluid surgical team structures, raise important considerations about the adaptability and sustainability of global safety initiatives in such environments. To address this gap, we implemented the WHO SSC in 15 hospitals across Mogadishu, aiming to evaluate its feasibility, measure improvements in adherence, and examine its influence on promoting a culture of surgical safety within resource-limited settings. Beyond improving procedural compliance, the intervention sought to determine whether structured training and frontline engagement could mitigate systemic barriers to safe surgical care. This study contributes valuable insights for global health stakeholders and policy-makers seeking to contextualize and scale evidence-based safety practices in settings characterized by conflict, institutional fragility, or chronic underinvestment in health systems.</p>","PeriodicalId":46782,"journal":{"name":"Patient Safety in Surgery","volume":"19 1","pages":"22"},"PeriodicalIF":2.1,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12382139/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Caring in the shadows: the pivotal role and unmet needs of caregivers for patients in a persistent vegetative state following traumatic brain injury. 阴影中的护理:创伤性脑损伤后持续性植物状态患者护理人员的关键作用和未满足的需求。
IF 2.1
Patient Safety in Surgery Pub Date : 2025-08-12 DOI: 10.1186/s13037-025-00446-y
Fatemeh Arjmandnia, Ehsan Alimohammadi
{"title":"Caring in the shadows: the pivotal role and unmet needs of caregivers for patients in a persistent vegetative state following traumatic brain injury.","authors":"Fatemeh Arjmandnia, Ehsan Alimohammadi","doi":"10.1186/s13037-025-00446-y","DOIUrl":"10.1186/s13037-025-00446-y","url":null,"abstract":"","PeriodicalId":46782,"journal":{"name":"Patient Safety in Surgery","volume":"19 1","pages":"21"},"PeriodicalIF":2.1,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12341133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Perforated meckel's diverticulum misdiagnosed as a urinary tract infection in an 11-year-old adolescent: case report of a rare differential diagnosis. 11岁青少年穿孔梅克尔憩室误诊为尿路感染:罕见鉴别诊断病例报告。
IF 2.1
Patient Safety in Surgery Pub Date : 2025-07-03 DOI: 10.1186/s13037-025-00443-1
Mohamed Ali, Hisham Hazem Warda, Ahmed Elghrieb
{"title":"Perforated meckel's diverticulum misdiagnosed as a urinary tract infection in an 11-year-old adolescent: case report of a rare differential diagnosis.","authors":"Mohamed Ali, Hisham Hazem Warda, Ahmed Elghrieb","doi":"10.1186/s13037-025-00443-1","DOIUrl":"10.1186/s13037-025-00443-1","url":null,"abstract":"<p><strong>Background: </strong>Meckel's diverticulum, a congenital anomaly of the gastrointestinal tract, is often asymptomatic but can present with complications such as inflammation, perforation, or obstruction. Misdiagnosis is common owing to its varied presentations, particularly when symptoms mimic other conditions such as urinary tract infections (UTI).</p><p><strong>Case presentation: </strong>An 11-year-old boy presented with persistent suprapubic pain and dysuria for one week. Initial urine analysis revealed turbid urine with high numbers of red blood cells, leading to a diagnosis of urinary tract infection (UTI), and antibiotic treatment was initiated. However, the patient's symptoms persisted, with worsening clinical signs. A complete blood count revealed leukocytosis with neutrophilia, suggesting the need for further evaluation. A non contrast computed tomography (CT) scan revealed a thickened, blind-ended structure in the midline lower abdomen with gas, extensive fat stranding, and associated mesenteric lymphadenopathy, suggestive of perforated Meckel's diverticulum. The patient underwent laparoscopic exploration, which revealed an abscess caused by perforated Meckel's diverticulum adherent to the urinary bladder. Diverticulectomy and incidental appendectomy were performed via a stapling device. Pathology confirmed a perforation of Meckel's diverticulum with serofibrinous peritonitis and follicular appendicitis. The postoperative course was uneventful, with the patient resuming full oral intake by the fifth day and being discharged in stable condition.</p><p><strong>Conclusion: </strong>This case emphasizes how Meckel's diverticulum can mimic a urinary tract infection, especially in pediatric patients with overlapping symptoms like suprapubic pain and dysuria. The delayed diagnosis highlights the importance of reconsidering rare causes when symptoms persist. Timely imaging was crucial in guiding effective treatment.</p>","PeriodicalId":46782,"journal":{"name":"Patient Safety in Surgery","volume":"19 1","pages":"20"},"PeriodicalIF":2.1,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12231995/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Risk factors for 30-day unplanned readmissions after surgical procedures in the elderly population. 老年人群手术后30天意外再入院的危险因素
IF 2.6
Patient Safety in Surgery Pub Date : 2025-07-01 DOI: 10.1186/s13037-025-00442-2
Gino Sartor, Marco Fusco, Marzio Milana, Leonardo Rigon, Giorgio Arcara, Pierfranco Conte, Alessandra Buja
{"title":"Risk factors for 30-day unplanned readmissions after surgical procedures in the elderly population.","authors":"Gino Sartor, Marco Fusco, Marzio Milana, Leonardo Rigon, Giorgio Arcara, Pierfranco Conte, Alessandra Buja","doi":"10.1186/s13037-025-00442-2","DOIUrl":"10.1186/s13037-025-00442-2","url":null,"abstract":"<p><strong>Introduction: </strong>Urgent hospital readmissions within 30 days of discharge after surgery are a measure of the quality of health and social care. This study aims to identify the characteristics of patients at higher risk of readmission and the main reasons for readmission, stratified by type of surgery.</p><p><strong>Methods: </strong>This cross-sectional study analysed the medical records of patients over 60 years of age in 2022 who had undergone surgery. Records came from hospitals covering an area of 890,000 inhabitants in Northern Italy (ULSS Marca Trevigiana). Risk factors for readmission included demographic characteristics, hospitalisation details, comorbidities, and procedures. Readmission rates and 95% CI were calculated by risk factor, type of intervention and reason for readmission. A logistic model was used to estimate the OR of readmission, adjusting for potential confounders.</p><p><strong>Results: </strong>The overall 30-day readmission rate was 3.8% (3.5-4.3), with the highest rates after gastrointestinal surgery (49.7 per 1,000 admissions) and the lowest after skin-soft tissue surgeries (15.5 per 1,000 admissions). Multivariate analysis identified dementia (OR = 3.19), end-stage kidney disease or dialysis (OR = 2.84), and metastatic cancer (OR = 2.65) as strong predictors of readmission. Advanced age (75+), male gender, primary cancer, and anemia were also independent predictors. Infection was the main reason for readmission. Other significant causes were hemorrhage, thrombosis/embolism, and intestinal obstruction.</p><p><strong>Conclusions: </strong>The study highlights the importance of identifying risk factors for readmission to improve transitions of care. Targeted interventions for high-risk populations, particularly those with dementia, renal disease, or cancer, are essential to improve postoperative outcomes and alleviate the burden of unplanned readmissions on healthcare systems.</p>","PeriodicalId":46782,"journal":{"name":"Patient Safety in Surgery","volume":"19 1","pages":"19"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12210902/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence and root causes of operating room fires in the United States 2014-2024. 2014-2024年美国手术室火灾的发生率和根本原因
IF 2.6
Patient Safety in Surgery Pub Date : 2025-06-02 DOI: 10.1186/s13037-025-00441-3
Monica M Attia
{"title":"Prevalence and root causes of operating room fires in the United States 2014-2024.","authors":"Monica M Attia","doi":"10.1186/s13037-025-00441-3","DOIUrl":"10.1186/s13037-025-00441-3","url":null,"abstract":"<p><strong>Background: </strong>Operating room fires, though rare, pose serious risks to patient and operator safety. Among the known ignition sources, light-emitting surgical devices-including fiberoptic cables, headlamps, and light boxes-are increasingly recognized contributors. However, the true prevalence and underlying causes remain under-characterized in national surveillance data. This study hypothesized that operator error is a leading cause of light-source-related fires and sought to identify specific device types, procedural timing, and preventable risk factors involved in these adverse events.</p><p><strong>Methods: </strong>Reports from the U.S. FDA's MAUDE database were analyzed for light source-related operating room fires from January 1, 2014, to January 1, 2024. Events were categorized by device type, procedural timing, root cause, and resultant injury.</p><p><strong>Results: </strong>A total of 45 adverse events were analyzed. Most fires were associated with light sources (33.3%), light headlamps (31.1%), and fiberoptic cables (20%). Intraoperative fires comprised the majority (35.6%). Operator error accounted for 37.8% of cases, with common errors including device mishandling (35.2%) and failure to detect damage (17.6%). Only 13.3% required intra-procedural interventions; injuries included one patient burn and two operator injuries.</p><p><strong>Conclusions: </strong>Most operating room fires involving light sources were linked to modifiable operator errors. These findings underscore the urgent need for preventive strategies-including mandatory training, regular equipment checks, and improved design standards-to reduce intraoperative fire risk and enhance surgical safety.</p>","PeriodicalId":46782,"journal":{"name":"Patient Safety in Surgery","volume":"19 1","pages":"18"},"PeriodicalIF":2.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12131830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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