Clinical events reported by surgeons assessing their peers

Rey-Conde, Therese, Wysocki, Arkadiusz P., North, John B., Allen, Jennifer, Ware, Robert S. and Watters, David A. 2016, Clinical events reported by surgeons assessing their peers, American journal of surgery, vol. 212, no. 4, pp. 748-754, doi: 10.1016/j.amjsurg.2016.01.027.

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Title Clinical events reported by surgeons assessing their peers
Author(s) Rey-Conde, Therese
Wysocki, Arkadiusz P.
North, John B.
Allen, Jennifer
Ware, Robert S.
Watters, David A.ORCID iD for Watters, David A.
Journal name American journal of surgery
Volume number 212
Issue number 4
Start page 748
End page 754
Total pages 7
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2016-10
ISSN 1879-1883
Keyword(s) Clinical audit
Clinical event
Patient safety
Peer review
Surgical mortality
Summary BACKGROUND: All surgical deaths in Queensland, Australia are reviewed by external surgeon peers, and clinical events are recorded. The study objective was to classify clinical events in surgical patients who died.

METHODS: Deaths notified to the Queensland Audit of Surgical Mortality between 2007 and 2013 were assessed by surgeons' peers who decided whether a clinical event occurred. The most serious clinical event per patient was analyzed.

RESULTS: Peer surgeons reviewed 4,816 deaths. Most patients (70.7%) had no clinical event. Events were preventable in 58% of patients and less than 1 in 10 events was severe. The most frequent events were classified as patient assessment (34.5%), suboptimal therapy (15.3%), and delays (15.1%).

CONCLUSIONS: Peer review of all surgical deaths identifies preventable clinical events and provides opportunities to improve decision making, better therapy and reduce delay in implementing appropriate surgical care. Review feedback to surgeons and other stakeholders should improve patient safety and quality.
Language eng
DOI 10.1016/j.amjsurg.2016.01.027
Field of Research 1103 Clinical Sciences
Socio Economic Objective 929999 Health not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, Elsevier
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Document type: Journal Article
Collections: Faculty of Health
School of Medicine
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