The DOI matches its Crossref record; 18 of the 18 references it cites were found in a registry or an index.
Effectiveness of routine reporting to identify minor and serious adverse outcomes in surgical patients
Open accessAbstract
OBJECTIVE: To assess the effectiveness of routine reporting to identify surgical adverse outcomes in comparison with retrospective medical record review. DESIGN: Independent assessment of two methods applied to one sample. Surgeons and surgical residents routinely reported all adverse outcomes for patients in their care during admission. A trained research assistant, blinded to the surgeons' reporting data, retrospectively reviewed the medical records of selected patients and registered all adverse outcomes identified from paper or electronic patient records. SETTING: Dutch university hospital. STUDY SAMPLE: A 5% sample of patients (N = 150) discharged in 2002 was taken; oversampling of patients undergoing reoperations, sick patients (ASA >or=3), and those undergoing technically complex surgery was done to increase the yield of adverse outcomes. MAIN OUTCOME MEASURES: The number of adverse outcomes identified by each method was compared with the total number identified by either method. This was done both for all adverse outcomes and for serious adverse outcomes. RESULTS: Routine reporting identified fewer adverse outcomes than medical record review (62.5% v 78.2%). Complete agreement was achieved in only 40.7% of adverse outcomes. Routine reporting identified slightly more serious adverse outcomes (84.8% v 79.5% of the total), but this difference was not statistically significant. Extrapolating these results to the total number of admissions in 2002, routine reporting underestimated the annual adverse outcome incidence by 1.8% (increasing from 14.5% to 16.3%) and the incidence of serious adverse outcomes by 0.3% (increasing from 6.9% to 7.2%). CONCLUSIONS: Neither method identified all adverse outcomes. Routine reporting underestimated the incidence of minor events but was as accurate as record review in identifying serious adverse outcomes.
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“Prior work has shown that self-reported errors are corroborated in the medical record >80% of the time35 and produce similar or lower estimates of medical error compared with retrospective chart review.36 37”
From National improvements in resident physician-reported patient safety after limiting first-year resident physicians’ extended duration work shifts: a pooled analysis of prospective cohort studies (2023) · cites this paper as [37]
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Brennan, T. A., Leape, L. L., Laird, N. M., Hebert, L., Localio, A. R., Lawthers, A. G., Newhouse, J. P., Weiler, P. C., & Hiatt, H. H. (1991) · New England Journal of Medicine · doi:10.1056/nejm199102073240604 · Cited by 4,627
American Society of Anesthesiologists
Marx, G. F. (1982) · Obstetric Anesthesia Digest · doi:10.1097/00132582-198203000-00028 · Cited by 1,899
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Dripps, R. B. (1963) · Anesthesiology · Cited by 1,676
The incidence and nature of surgical adverse events in Colorado and Utah in 1992
Gawande, A. A., Thomas, E. J., Zinner, M. J., & Brennan, T. A. (1999) · Surgery · doi:10.1067/msy.1999.98664 · Cited by 977
Brennan, T. A. (2004) · Quality and Safety in Health Care · doi:10.1136/qshc.2002.003822 · Cited by 942
American Society of Anesthesiologists
National Cancer Institute (2020) · Definitions · doi:10.32388/s4rn7s · Cited by 705
Estimating Hospital Deaths Due to Medical Errors: Preventability Is in the Eye of the Reviewer
Hayward, R. A., & Hofer, T. P. (2001) · JAMA · doi:10.1001/jama.286.4.415 · Cited by 584
Adverse events in surgical patients in Australia
KABLE, A. K., GIBBERD, R. W., & SPIGELMAN, A. D. (2002) · International Journal for Quality in Health Care · doi:10.1093/intqhc/14.4.269 · Cited by 450
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Physician Reporting Compared with Medical-Record Review to Identify Adverse Medical Events
O'Neil, A. C., Petersen, L. A., Cook, E. F., Bates, D. W., Lee, T. H., & Brennan, T. A. (1993) · Annals of Internal Medicine · doi:10.7326/0003-4819-119-5-199309010-00004 · Cited by 315
Research works printed but not linked: 1
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Cited by
Effect of a comprehensive surgical safety system on patient outcomes
de Vries, E. N., Prins, H. A., Crolla, R. M. P. H., den Outer, A. J., van Andel, G., van Helden, S. H., Schlack, W. S., van Putten, M. A., Gouma, D. J., Dijkgraaf, M. G. W., et al. (2010) · New England Journal of Medicine · doi:10.1056/nejmsa0911535 · Cited by 998
Stavropoulou, C., Doherty, C., & Tosey, P. (2015) · Milbank Quarterly · doi:10.1111/1468-0009.12166 · Cited by 239
Prevention of Surgical Malpractice Claims by Use of a Surgical Safety Checklist
de Vries, E. N., Eikens-Jansen, M. P., Hamersma, A. M., Smorenburg, S. M., Gouma, D. J., & Boermeester, M. A. (2011) · Annals of Surgery · doi:10.1097/sla.0b013e3182068880 · Cited by 111
Rebasa, P., Mora, L., Luna, A., Montmany, S., Vallverdú, H., & Navarro, S. (2008) · World Journal of Surgery · doi:10.1007/s00268-008-9848-6 · Cited by 50
“[18], which concluded that prospective recording of AE provides no benefit.”
BackgroundFunctional status as a prognostic factor for primary revascularization for critical limb ischemia
Flu, H. C., Lardenoye, J.-W. H. P., Veen, E. J., Henegouwen, D. P. V. B., & Hamming, J. F. (2010) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2009.08.051 · Cited by 44
Metadata
- Authors
- Marang-van de Mheen, P. J.
- Venue
- Quality and Safety in Health Care
- Publisher
- BMJ
- Published
- 2005-10-01
- Volume
- 14
- Issue
- 5
- Pages
- 378-382
- ISSN
- 1475-3898 (ISSN-L)
- 1475-3901
- PMC
- PMC1744069
- OpenAlex
- W2123150039
- Cited by
- 46
- References
- 18
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 2 · 2022: 2 · 2021: 1 · 2019: 2 · 2018: 1 · 2017: 2 · 2015: 4 · 2014: 2 · 2013: 2 · 2012: 3
- FWCI
- 3.37
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- BMJ Quality & Safety (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Patient Safety and Medication Errors
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Toxicology › Pharmacovigilance and Adverse Drug Reactions
- Health Sciences › Nursing › Leadership and Management › Hospital Admissions and Outcomes
- Keywords
- adverse surgical outcomes, serious adverse events, outcome ascertainment, underreporting, surgical quality
- MeSH terms
- Adult, Age Factors, Aged, Female, Humans, Male, Medical Audit, Medical Records, Middle Aged, Netherlands, Reoperation, Retrospective Studies, Risk Factors, Risk Management, Surgery Department, Hospital, Surgical Procedures, Operative, Treatment Outcome, Outcome Assessment, Health Care
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
