Abstract：
INTRODUCTION:Surgery is one of the high-risk areas for the occurrence of adverse events (AE). The purpose of this study is to know the percentage of hospitalisation-related AE that are detected by the «Global Trigger Tool» methodology in surgical patients, their characteristics and the tool validity. MATERIAL AND METHODS:Retrospective, observational study on patients admitted to a general surgery department, who underwent a surgical operation in a third level hospital during the year 2012. The identification of AE was carried out by patient record review using an adaptation of «Global Trigger Tool» methodology. Once an AE was identified, a harm category was assigned, including the grade in which the AE could have been avoided and its relation with the surgical procedure. RESULTS:The prevalence of AE was 36,8%. There were 0,5 AE per patient. 56,2% were deemed preventable. 69,3% were directly related to the surgical procedure. The tool had a sensitivity of 86% and a specificity of 93,6%. The positive predictive value was 89% and the negative predictive value 92%. CONCLUSIONS:Prevalence of AE is greater than the estimate of other studies. In most cases the AE detected were related to the surgical procedure and more than half were also preventable. The adapted «Global Trigger Tool» methodology has demonstrated to be highly effective and efficient for detecting AE in surgical patients, identifying all the serious AE with few false negative results.
journal_name
Cir Espjournal_title
Cirugia espanolaauthors
Pérez Zapata AI,Gutiérrez Samaniego M,Rodríguez Cuéllar E,Andrés Esteban EM,Gómez de la Cámara A,Ruiz López Pdoi
10.1016/j.ciresp.2014.08.007subject
Has Abstractpub_date
2015-02-01 00:00:00pages
84-90issue
2eissn
0009-739Xissn
1578-147Xpii
S0009-739X(14)00278-4journal_volume
93pub_type
杂志文章相关文献
CIRUGIA ESPANOLA文献大全abstract：OBJECTIVE:To evaluate satisfaction among patients who underwent thoracic sympathectomy for primary hyperhidrosis and the possible complications after a minimum of 14 months after surgery. MATERIAL AND METHODS:We performed a retrospective study in 108 patients who underwent thoracic sympathectomy and who responded to a...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(06)70876-4
更新日期：2006-05-01 00:00:00
abstract：INTRODUCTION:Laparoscopic Heller myotomy has become the gold standard procedure for patients with achalasia. This study evaluates the clinical status, quality of life, and functional outcomes after laparoscopic Heller myotomy. MATERIAL AND METHODS:We analyzed patients who underwent laparoscopic Heller myotomy with an ...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2013.06.007
更新日期：2014-03-01 00:00:00
abstract：INTRODUCTION:The new methods of teaching, based on new technologies, already available in other educational and professional fields are gradually being introduced in our Medical Schools. The aim of our study is to present our initial experience in the introduction of a subject on the principles of surgery in our univer...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2009.01.001
更新日期：2009-03-01 00:00:00
abstract：:In some patients with colorectal cancer and synchronous liver metastases, chemotherapy and current combinations of chemotherapy allow the size of these metastases to be reduced so that they can be surgically resected. However, in many patients, the initial systematic treatment of the primary tumor is associated with g...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(07)71713-x
更新日期：2007-10-01 00:00:00
abstract：OBJECTIVE:The aim of this study was the prospective evaluation of the functional results of a series endorectal advancement flaps in the treatment of complex anal fistulas. MATERIAL AND METHODS:A total of 90 patients were operated on for a complex anal fistula by means of fistulectomy and endorectal advancement flap. ...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2009.03.005
更新日期：2009-10-01 00:00:00
abstract：:The aim of this narrative review is to define the clinical-pathological characteristics and to clarify the management of right colonic diverticular disease. It is rare in Europe, USA and Australia and more common in Asia. In the recent years its incidence has increased in the West, with various distributions among pop...
journal_title：Cirugia espanola
pub_type： 杂志文章,评审
doi：10.1016/j.ciresp.2016.08.008
更新日期：2016-12-01 00:00:00
abstract：INTRODUCTION:Derivative ileostomies are frequently performed to protect low anastomosis. The closure of the ileostomy has shown, under some circumstances, high associated mortality/morbidity rates. This study attempts to quantify the morbidity and mortality associated with ileostomy closure in rectal neoplasm patients ...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(08)70598-0
更新日期：2008-07-01 00:00:00
abstract：:Despite preventive efforts, venous thromboembolic disease (VTED) is still a major problem for surgeons due to its frequency and the morbidity, mortality and enormous resource consumption caused by this entity. However, the most important feature of VTED is that it is one of the most easily preventable complications an...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/S0009-739X(09)71628-8
更新日期：2009-06-01 00:00:00
abstract：:Adenocarcinoma (ADC) of the anal canal is a rare disease comprising only 5% of all anorectal neoplasias and 1.5% of all gastrointestinal tumours. The World Health Organisation classifies anal ADC into 3 types: the first may arise from the mucosa of the transitional zone in the upper canal, the second from the anal gla...
journal_title：Cirugia espanola
pub_type： 杂志文章,评审
doi：10.1016/j.ciresp.2013.01.002
更新日期：2013-05-01 00:00:00
abstract：:The role of oral antibiotic prophylaxis and mechanical bowel preparation in colorectal surgery remains controversial. The lack of efficacy of mechanical preparation to improve infection rates, its adverse effects, and multimodal rehabilitation programs have led to a decline in its use. This review aims to evaluate cur...
journal_title：Cirugia espanola
pub_type： 杂志文章,评审
doi：10.1016/j.ciresp.2018.03.009
更新日期：2018-01-01 00:00:00
abstract：INTRODUCTION:Laparoscopic sleeve gastrectomy (LSG) was developed after the laparoscopic duodenal switch (LDS) procedure and is increasingly indicated in the treatment of morbid obesity. The main indication for LSG is LDS in patients with superobesity. MATERIAL AND METHOD:We describe the need to perform laparoscopic re...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(07)71659-7
更新日期：2007-07-01 00:00:00
abstract：INTRODUCTION:The extraordinary impact of COVID-19 pandemic on Spanish hospitals has led to a redistribution of resources for the treatment of these patients, with a decreased capacity of care for other common diseases. The aim of the present study is to analyse how this situation has affected the treatment of cholecyst...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2020.07.001
更新日期：2020-07-19 00:00:00
abstract：BACKGROUND:Bariatric surgery is considered a more effective means of achieving weight loss than non-surgical options in morbid obesity. Rates of failure or relapse range from 20 to 30%. The study aims to analyse the influence of psychological variables (self-esteem, social support, coping strategies and personality) in...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2017.06.002
更新日期：2017-01-01 00:00:00
abstract：:Chronic anal fissure is a common benign anorectal problem in Western countries that substantially impairs the patient's life. Consequently, a rapid and effective solution is required. We reviewed the various treatments for chronic anal fissure described in the literature, with the aim of establishing a therapeutic pro...
journal_title：Cirugia espanola
pub_type： 杂志文章,评审
doi：10.1016/s0009-739x(05)70893-9
更新日期：2005-08-01 00:00:00
abstract：PURPOSE:The aim of this study was to assess the usefulness of clinical-administrative databases for the development of risk adjustment in the assessment of adverse events in surgical patients. METHODS:The study was conducted at the Hospital of Navarra, a tertiary teaching hospital in northern Spain. We studied 1602 ho...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2015.01.013
更新日期：2016-03-01 00:00:00
abstract：INTRODUCTION:Living donor liver transplantation (LDLT) is an alternative to conventional transplantation given its excellent results. The aim of this study is to evaluate long-term outcomes in LDLT recipients. METHODS:100 consecutive THDV recipients from the Hospital Clínic of Barcelona from March 2000 to October 2015...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2017.03.012
更新日期：2017-01-01 00:00:00
abstract：:Extrahepatic complications from hepatic cystic echinococcosis are rare and may be life threatening. Although the prevalence of echinococcosis in Spain had decreased, the number of cases of this disease and its severity has risen again due to immigration. We report the case of a patient with a giant hepatic echinococcu...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(07)71695-0
更新日期：2007-09-01 00:00:00
abstract：AIM:Today, free margin surgery is the gold-standard management for soft-tissue sarcoma patients and one of the most important predictors of recurrence and survival. To obtain optimal results, a multidisciplinary approach is necessary. The aim of this study was to evaluate the evolution of patients with RPS treated by «...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2014.02.002
更新日期：2014-10-01 00:00:00
abstract：INTRODUCTION:The aim of this study was to analyze prognostic factors for survival and recurrence in patients with resected pancreatic neuroendocrine tumors (PNT). METHODS:Medical records of 95 patients with resected PNT were retrospectively reviewed. The variables studied were: age, sex, form of presentation (sporadic...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2016.05.010
更新日期：2016-10-01 00:00:00
abstract：:A literature review has been made on the pelvic recurrence of rectal cancer using the MedLine, Ovid, EMBASE, Cochrane and Cinahl data bases. Assessment of the locoregional recurrence must be made using imaging tests in order to rule out the presence of metastasis, as well as for locating its exact location within the ...
journal_title：Cirugia espanola
pub_type： 杂志文章,评审
doi：10.1016/j.ciresp.2011.01.008
更新日期：2011-05-01 00:00:00
abstract：:Despite recent advances in the medical treatment of ulcerative colitis (UC), approximately 25-40% of patients will need surgery during their disease. The aim of elective surgical treatment of UC is to remove the colon/and rectum with minimal postoperative morbidity, and to offer a good long-term quality of life. There...
journal_title：Cirugia espanola
pub_type： 杂志文章,评审
doi：10.1016/j.ciresp.2012.07.019
更新日期：2012-11-01 00:00:00
abstract：INTRODUCTION:The aim of this paper is to assess the learning curve on compliance to the application of a multimodal rehabilitation program (MMRP) protocol and patient recovery after elective colorectal surgery. MATERIAL AND METHODS:A comparative prospective study of 3 consecutive cohorts of 100 patients (P1, P2 and P3...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2010.04.006
更新日期：2010-08-01 00:00:00
abstract：INTRODUCTION:Laparoscopic side-to-side intestinal anastomosis is a common in clinic practice and training simulation. The aim of this study is to design and validate a reliable and reproducible tool for its evaluation. METHODS:A modified Delphi method was used to design a tool with elements that determine quality, inc...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2019.10.005
更新日期：2020-05-01 00:00:00
abstract：INTRODUCTION:Although the unique comparison standard of primary inguinal hernia repair is the Lichtenstein technique (LICH), totally extra-peritoneal (TEP) laparoscopic inguinal hernioplasty shows, although not systematically demonstrated, clear advantages as regards, perceived pain, analgesic use, and recovery of dail...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2011.02.006
更新日期：2011-10-01 00:00:00
abstract：INTRODUCTION:It has been shown that procalcitonin (PCT) is a good marker for sepsis as the more severe the infection the higher the plasma levels. The Mannheim peritonitis index (MPI) is very effective in assessing the prognosis of secondary peritonitis. The aim of this study is to find out whether there is any correla...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2009.02.007
更新日期：2009-07-01 00:00:00
abstract：INTRODUCTION:We analyze major liver resections performed in 10 years, with the objective of evaluating perioperative results. As secondary objectives, factors related to major complications and comparative analyses of 25-year periods are evaluated. METHODS:Retrospective analysis of patients undergoing major hepatic re...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2017.06.006
更新日期：2017-10-01 00:00:00
abstract：INTRODUCTION:The morbidity and mortality, along with the functional changes that arise from radical surgery of rectal cancer, has led to an increasing interest in local treatment in the early stages of cancer of the rectum. Conventional transanal surgery has a high recurrence rate, for this reason transanal endoscopic ...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2010.09.006
更新日期：2011-01-01 00:00:00
abstract：INTRODUCTION:The main objective of this study is to determine if our unit meets the quality standards required by the scientific community from the reference centers for pancreatic surgery in terms of peri-operative results. The secondary objectives are to compare the different pancreatic surgery techniques performed i...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2020.09.013
更新日期：2020-12-17 00:00:00
abstract：UNLABELLED:Mucocele of the appendix is a very uncommon disease estimated to be seen in 0.2-0.3% of all appendectomies (0.28% in our series). The term "mucocele" means dilation of the appendix due to mucus, caused either by a benign process or a malignant one (cystadenoma or adenocarcinoma). MATERIAL AND METHODS:We pre...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2009.07.020
更新日期：2010-02-01 00:00:00
abstract：INTRODUCTION:Groove pancreatitis (PS) is an uncommon clinical situation and radiologically it can mimic carcinoma of the periampullary area. The aim of this paper is to study a series of 8 patients who underwent surgery with preoperative diagnosis of pancreatic head mass and subsequent pathological diagnosis of PS. ME...
journal_title：Cirugia espanola
pub_type： 杂志文章,评审
doi：10.1016/j.ciresp.2016.02.011
更新日期：2016-06-01 00:00:00
