Articles
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Citation: Patient Safety in Surgery 2023 17:13
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Utility of the Parkland Grading Scale to determine intraoperative challenges during laparoscopic cholecystectomy: a validation study on 206 patients at an academic medical center in Nepal
Most of the scoring systems to predict difficult laparoscopic cholecystectomy are based on pre-operative clinical and radiological findings. Recently the Parkland Grading Scale system was introduced as a simpl...
Citation: Patient Safety in Surgery 2023 17:12 -
Quality of anesthetist communication with surgical patients in the perioperative setting: a survey at an academic tertiary referral hospital in Ethiopia
Effective communication is a fundamental step in providing best medical care and recognized as vital component of clinical anesthesia practice. Poor communication adversely affects patients’ safety and outcome...
Citation: Patient Safety in Surgery 2023 17:11 -
Multiphase preclinical assessment of a novel device to locate unintentionally retained surgical sharps: a proof-of-concept study
Retained surgical sharps (RSS) is a “never event” that is preventable but may still occur despite of correct count and negative X-ray. This study assesses the feasibility of a novel device (“Melzi Sharps Finde...
Citation: Patient Safety in Surgery 2023 17:10 -
Compliance to perioperative anticoagulation protocols in elderly patients undergoing elective orthopedic procedures: a retrospective observational cohort study on 548 patients
Compliance with perioperative anticoagulation guidelines is essential to minimize bleeding and thromboembolic risks in patients undergoing surgery. Compared to vitamin-K antagonists (VKAs), perioperative manag...
Citation: Patient Safety in Surgery 2023 17:9 -
Evaluation of errors related to surgical pathology specimens of different hospital departments with a patient safety approach: a case study in Iran
Most surgical specimen errors occur in the pre-analysis stage, which can be prevented. This study aims to identify errors related to surgical pathology specimens in one of the most comprehensive healthcare cen...
Citation: Patient Safety in Surgery 2023 17:8 -
Investigational medications in 9,638 hospitalized patients with severe COVID-19: lessons from the “fail-and-learn” strategy during the first two waves of the pandemic in 2020
The early surge of the novel coronavirus disease 2019 (COVID-19) pandemic introduced a significant clinical challenge due to the high case-fatality rate in absence of evidence-based recommendations. The empiri...
Citation: Patient Safety in Surgery 2023 17:7 -
Factors contributing to preventing operating room “never events”: a machine learning analysis
A surgical “Never Event” is a preventable error occurring immediately before, during or immediately following surgery. Various factors contribute to the occurrence of major Never Events, but little is known ab...
Citation: Patient Safety in Surgery 2023 17:6 -
Are complications related to the perineal post on orthopaedic traction tables for surgical fracture fixation more common than we think? A systematic review
Traction tables have long been utilized in the management of fractures by orthopaedic surgeons. The purpose of this study was to systematically review the literature to determine the complications inherent to ...
Citation: Patient Safety in Surgery 2023 17:5 -
Prevention of incisional surgical site infection by subfascial closed suction drainage after open laparotomy: a single surgeon experience in 250 consecutive patients
Open laparotomy with gastroenterological surgery is a surgical procedure results in a relatively high rate (about 10% or more) of incisional surgical site infection (SSI). To reduce incisional SSI after open l...
Citation: Patient Safety in Surgery 2023 17:4 -
Patterns of malpractice claims and compensation after surgical procedures: a retrospective analysis of 8,901 claims from the Finnish patient insurance registry
Invasive surgical procedures carry risk of harm to patients. In addition to avoidable harm, disparities between patient expectations and the outcome of a procedure may lead to patient injury claims. The follow...
Citation: Patient Safety in Surgery 2023 17:3 -
Anatomic description of the distal great saphenous vein to facilitate peripheral venous access during resuscitation: a cadaveric study
The distal great saphenous vein is a popular site for venous access by means of percutaneous cannulation or venous cutdown in a hemodynamically unstable patient. The aim of this study was to precisely define t...
Citation: Patient Safety in Surgery 2023 17:2 -
Conversion hip arthroplasty for failed internal fixation of ipsilateral femoral neck and shaft fractures: a case report
Ipsilateral femoral neck and hip fractures are uncommon high energy injuries. In the literature no single method of treatment has emerged as superior to the others. A recent publication has documented the succ...
Citation: Patient Safety in Surgery 2023 17:1 -
Correlation between intracranial pressure monitoring for severe traumatic brain injury with hospital length of stay and discharge disposition: a retrospective observational cohort study
Intracranial pressure (ICP) monitoring is recommended for severe traumatic brain injuries (TBI) but some data suggests it may not improve outcomes. The objective was to investigate the effect of ICP monitoring...
Citation: Patient Safety in Surgery 2022 16:40 -
Lower Extremity Staged Revascularization (LESR) as a new innovative concept for lower extremity salvage in acute popliteal artery injuries: a hypothesis
Popliteal artery injury following knee dislocation is associated with significant morbidity and high amputation rates. The complex and multi-disciplinary input required to manage this injury effectively can ta...
Citation: Patient Safety in Surgery 2022 16:39 -
Opioid-free anesthesia: the next frontier in surgical patient safety
Citation: Patient Safety in Surgery 2022 16:38 -
Percutaneous bone adhesive application for Jones fracture “at-risk” of nonunion or delayed union: a hypothesis
Bone adhesives have been on the forefront of orthopedic surgery research for decades due to the potential benefit they may have in fracture management. Current publications and research being conducted on bone...
Citation: Patient Safety in Surgery 2022 16:37 -
The value of artificial intelligence for detection and grading of prostate cancer in human prostatectomy specimens: a validation study
The Gleason grading system is an important clinical practice for diagnosing prostate cancer in pathology images. However, this analysis results in significant variability among pathologists, hence creating pos...
Citation: Patient Safety in Surgery 2022 16:36 -
Increased CO2 levels in the operating room correlate with the number of healthcare workers present: an imperative for intentional crowd control
The air in an operating room becomes more contaminated as the occupancy of the room increases. Individuals residing in a room can potentially emit infectious agents. In order to inhibit and better understand t...
Citation: Patient Safety in Surgery 2022 16:35 -
The implementation of physicians assistant in a surgical ward improves continuity in daily clinical work and increases comprehensibility of nurses and physicians
Physician Assistant (PA) have been deployed to increase the capacity of a team, supporting continuity and medical cover. The goal of this study was to assess the implementation of PAs on continuity of surgical...
Citation: Patient Safety in Surgery 2022 16:34 -
The “teach-back” method improves surgical informed consent and shared decision-making: a proof of concept study
The teach-back method is a communication tool that can improve patient safety and shared decision-making. Its utility in patient care has been studied extensively in many areas of clinical medicine. However, t...
Citation: Patient Safety in Surgery 2022 16:33 -
Implementation of continuous temperature monitoring during perioperative care: a feasibility study
Continuous body temperature monitoring during perioperative care is enabled by using a non-invasive “zero-heat-flux” (ZHF) device. However, rigorous evaluation of whether continuous monitoring capability impro...
Citation: Patient Safety in Surgery 2022 16:32 -
Does altitude increase the risk of traumatic aortic injuries? A retrospective cohort study among six level I trauma centers in the United States
Traumatic aortic injuries (TAIs) are rare but are associated with a high mortality. Prior studies have shown skiers and pilots, whose injuries occur at high altitudes, are at an increased risk for a TAI. The p...
Citation: Patient Safety in Surgery 2022 16:31 -
Predictors of transfer from a remote trauma facility to an urban level I trauma center for blunt splenic injuries: a retrospective observational multicenter study
The decision-making for admission versus emergent transfer of patients with blunt splenic injuries presenting to remote trauma centers with limited resources remains a challenge. Although splenectomy is standa...
Citation: Patient Safety in Surgery 2022 16:30 -
Respect for illiterate or unconscious patient’s autonomy as a requirement for the legality of medical procedures in the polish healthcare system: a case report and review of the literature
According to the Polish law, each patient has the right to refuse to consent to a medical procedure, even if the refusal concerns a life-saving procedure. It may be difficult for a physician to accept this kin...
Citation: Patient Safety in Surgery 2022 16:29 -
Development of a "Scissor-Tip-Separator" for adjustment of scissor blade separation and prevention of scissor blade damage during steam sterilization
Reprocess reusable surgical instruments during steam sterilization; damage occurs to sharp scissor blades in close position, so steam cannot reach the blades. Surgical instruments' management requires standard...
Citation: Patient Safety in Surgery 2022 16:28 -
Effect of perioperative magnesium sulfate and labetalol infusion on peripheral perfusion and postoperative pain in nasal surgery: a randomized controlled trial
Maintenance of adequate peripheral perfusion during controlled hypotension is necessary for patient safety and improved surgical outcomes during controlled hypotension in nasal surgery. The hypothesis of this ...
Citation: Patient Safety in Surgery 2022 16:27 -
Reducing the risk of viral contamination during the coronavirus pandemic by using a protective curtain in the operating room
Airborne transmission diseases can transfer long and short distances via sneezing, coughing, and breathing. These airborne repertory particles can convert to aerosol particles and travel with airflow. During t...
Citation: Patient Safety in Surgery 2022 16:26 -
Anterior tibial artery pseudoaneurysm as a rare technical complication after corrective fibular osteotomy: a case report
Partial fibular osteotomy has been recognized as a surgical alternative to treat medial compartment osteoarthritis of the knee. Related peroneal neuropathies are of concern among the relatively few complicatio...
Citation: Patient Safety in Surgery 2022 16:25 -
Trans-sacral screw fixation of posterior pelvic ring injuries: review and expert opinion
Posterior pelvic ring injuries (i.e., sacro-iliac joint dislocations, fracture-dislocations, sacral fractures, pelvic non-unions/malunions) are challenging injury patterns which require a significant level of ...
Citation: Patient Safety in Surgery 2022 16:24 -
Introducing the “Twilight” operating room concept: a feasibility study to improve operating room utilization
The efficient use of operating room is important to ensure optimum cost–benefit for the hospital and to reduce elective surgery waiting times. We introduced a concept of non-commissioned “Twilight” operating r...
Citation: Patient Safety in Surgery 2022 16:23 -
Impact of the COVID-19 pandemic on delays in surgical procedures in Germany: a multi-center analysis of an administrative registry of 176,783 patients
While extensive data are available on the postponement of elective surgical procedures due to the COVID-19 pandemic for Germany, data on the impact on emergency procedures is limited.
Citation: Patient Safety in Surgery 2022 16:22 -
The impact of EMTALA on medical malpractice framework models: a review
The Emergency Medical Treatment & Active Labor Act (EMTALA) is a healthcare law specific to screening, stabilizing, and transferring (or accepting) patients with emergency medical conditions and active labor. ...
Citation: Patient Safety in Surgery 2022 16:21 -
Compliance with the World Health Organization’s surgical safety checklist and related postoperative outcomes: a nationwide survey among 172 health facilities in Ethiopia
Ministry of Health (MOH) of Ethiopia adopted World Health Organization’s evidence-proven surgical safety checklist (SSC) to reduce the occurrence of surgical complications, i.e., death, disability and prolong ...
Citation: Patient Safety in Surgery 2022 16:20 -
The Stark law, from inception to COVID-19 blanket waivers: a review
The concept of physicians referring patients to their own healthcare entities is considered a “self-referral”. A discerning factor of a self-referral is when the physician has a financial interest in the entit...
Citation: Patient Safety in Surgery 2022 16:19 -
The safety of a novel single-drape cover for sterile back tables in the operating room compared to the standard two-drape method: an experimental study
Covering the prepared sterile back tables (PSBTs) during periods of nonuse and during active surgeries may decrease contamination of sterile surgical instruments that have direct contact to surgical wound. The...
Citation: Patient Safety in Surgery 2022 16:18 -
Compliance with the surgical safety checklist in Switzerland: an observational multicenter study based on self-reported data
Since publication of the surgical safety checklist by the WHO in 2009, it has been introduced in many hospitals. However, frequency and quality of surgical safety checklist use is often low probably limiting t...
Citation: Patient Safety in Surgery 2022 16:17 -
Safety and efficacy of manual vacuum aspiration under local anesthesia compared to general anesthesia in the surgical management of miscarriage: a retrospective cohort study
In Japan, dilatation & curettage (D&C) has been performed under general anesthesia as a surgery for an early pregnancy miscarriage for a long time. In 2016, manual vacuum aspiration (MVA) under general anesthe...
Citation: Patient Safety in Surgery 2022 16:16 -
Challenging the dogma to “always operate” acute hip fractures: a proof-of-concept pilot study for nonoperative management of undisplaced femoral neck fractures
The notion that all acute hip fractures are a surgical entity requiring either surgical fracture fixation or hip replacement represents a historic dogma, particularly within the orthopaedic community of the Un...
Citation: Patient Safety in Surgery 2022 16:15 -
The impact of immune dysfunction on perioperative complications in surgical COVID-19 patients: an imperative for early immunonutrition
Surgical patients with coronavirus disease 2019 (COVID-19) are vulnerable to increased perioperative complications and postoperative mortality, independent of the risk for contracting COVID-19 pneumonia after ...
Citation: Patient Safety in Surgery 2022 16:14 -
Attitudes about use of preoperative risk assessment tools: a survey of surgeons and surgical residents in an academic health system
Formal surgical risk assessment tools have been developed to predict risk of adverse postoperative patient outcomes. Such tools accurately predict common postoperative complications, inform patients and provid...
Citation: Patient Safety in Surgery 2022 16:13 -
Utilizing the “teach-back” method to improve surgical informed consent and shared decision-making: a review
The teach-back method is a valuable communication tool that can be employed to improve patient safety and shared decision-making. Its utility in patient care has been studied extensively in many areas of clini...
Citation: Patient Safety in Surgery 2022 16:12 -
Increased injury severity and hospitalization rates following crashes with e-bikes versus conventional bicycles: an observational cohort study from a regional level II trauma center in Switzerland
As electric bicycles (e-bikes) become increasingly popular, reports of injuries associated with e-bike usage are also rising. Patterns, characteristics, and severity of injuries following e-bike crashes need f...
Citation: Patient Safety in Surgery 2022 16:11 -
Patient safety assurance in the age of defensive medicine: a review
The definition of defensive medicine has evolved over time given various permutations and combinations. The underlying meaning, however, has persisted in its relevance towards two classifications, positive and...
Citation: Patient Safety in Surgery 2022 16:10 -
Servant leadership: an endangered species?
Citation: Patient Safety in Surgery 2022 16:9 -
The role of teamwork and non-technical skills for improving emergency surgical outcomes: an international perspective
The assurance of patient safety in emergency general surgery remains challenging due to the patients’ high-risk underlying conditions and the wide variability in emergency surgical care provided around the glo...
Citation: Patient Safety in Surgery 2022 16:8 -
Predictive Power of the "Trigger Tool" for the detection of adverse events in general surgery: a multicenter observational validation study
In spite of the global implementation of standardized surgical safety checklists and evidence-based practices, general surgery remains associated with a high residual risk of preventable perioperative complica...
Citation: Patient Safety in Surgery 2022 16:7 -
Intraoperative practices to prevent wrong-level spine surgery: a survey among 105 spine surgeons in the United Kingdom
Current literature suggests that wrong-level spine surgery is relatively common with far-reaching consequences. This study aims to assess the current practices of spinal surgeons across the UK with respect to ...
Citation: Patient Safety in Surgery 2022 16:6 -
Three-dimensional printing models increase inter-rater agreement for classification and treatment of proximal humerus fractures
Proximal humerus fractures (PHF) are frequent, however, several studies show low inter-rater agreement in the diagnosis and treatment of these injuries. Differences are usually related to the experience of the...
Citation: Patient Safety in Surgery 2022 16:5 -
Knowledge and practice of tracheal tube cuff pressure monitoring: a multicenter survey of anaesthesia and critical care providers in a developing country
Tracheal tubes are routinely used during anaesthesia and in the intensive care unit. Subjective monitoring of cuff pressures have been reported to produce consistently inappropriate cuffs pressures, with atten...
Citation: Patient Safety in Surgery 2022 16:4
Editors-in-Chief
Prof Philip F Stahel, Mission Health, USA
Prof Pierre-Alain Clavien, University Hospital Zurich, Switzerland
Managing Editors
Prof Sebastian Weckbach, University Hospital Ulm, Germany
Dr Navid Ziran, St. Joseph's Hospital and Medical Center, Arizona, USA
Senior Editor Emeritus
Dr Steven Schelkun, AO North America, USA
Prof George Youngson, Royal College of Surgeons of Edinburgh, Scotland
Associate Editors
Prof Walter Biffl, Scripps Memorial Hospital, USA
Prof Markus W Buechler, University Hospital Heidelberg, Germany
Dr Jeffrey Galinkin, The Medical Center of Aurora, USA
Prof Christoph E Heyde, University Hospital Leipzig, Germany
Prof James Kellam, Carolinas Medical Center, USA
Dr Fernando Kim, Denver Health Medical Center, USA
Prof Martin A Makary, The Johns Hopkins Hospital, USA
Dr Claudia Medina, IPS Universitaria Clinica Leon XIII, Colombia
Prof Philip S Mehler, Eating Recovery Center, USA
Prof Ernest E Moore, Denver Health Medical Center, USA
Prof Hans-Christoph Pape, University Hospital Zurich, Switzerland
Prof Rodrigo Pesántez, Universidad de los Andes Bogotá, Colombia
Dr Carlos Rodriguez, Walter Reed National Military Medical Center, USA
Prof Andrew H Schmidt, Minnesota University, USA
Dr Andie Slivinski, Mission Health, USA
Dr Jeffrey Smith, Orthopaedic Trauma & Fracture Specialist Medical Corp, USA
Prof Wade R Smith, Swedish Medical Center, USA
Prof Adam Starr, University of Texas Southwestern Medical School, USA
Prof Charles Vincent, University of Oxford, UK
Dr Boris A. Zelle, University of Texas Health, USA
Prof Bruce Ziran, Hughston Clinic at Gwinnett Medical Center, USA
Statistical Advisors
Dr Stefan Sauerland, Institute for Quality and Efficiency in Healthcare (IQWiG), Germany
Dr Allison E Williams, Bay Pines VA Health Care System, USA
Editorial Board
Prof Fernando Baldy dos Reis, UNIFESP-Federal University of São Paulo, Brazil
Prof Jeffrey Barkun, McGill University Health Center, Canada
Dr Nathan C Butler, University of California Davis, USA
Dr. Bayley E. Clarke, Georgetown University, USA
Dr Ted Clarke, Colorado Physician Insurance Companies (COPIC), USA
Prof Nicolas Demartines, University Hospital Lausanne (CHUV), Switzerland
Dr Johannes Fakler, University of Leipzig, Germany
Prof Beat Gloor, University of Bern, Switzerland
Dr Andrew Grose, Westchester Medical Center, USA
Prof Dieter Hahnloser, University Hospital Lausanne (CHUV), Switzerland
Prof Jiandong Hao, The Third Hospital of Hebei Medical University, China
Prof Kirk Hogan, University of Wisconsin, USA
Prof Markus Huber-Lang, University of Ulm, Germany
Dr Kyros Ipaktchi, Denver Health Medical Center, USA
Dr Thilo John, DRK Hospital Berlin-Westend, Germany
Dr Jeffrey L Johnson, Henry Ford Hospital, USA
Prof Jeffry Kashuk, Tel Aviv University-Sackler School of Medicine, Israel
Prof Christian K Lackner, LMU University, Germany
Dr Geeta Lal, University of Iowa, USA
Dr Alan Lembitz, Colorado Physician Insurance Companies (COPIC), USA
Prof Matthias Majetschak, Loyola University, USA
Dr Timothy Moore, MetroHealth Medical Center, USA
Dr John Mukhopadhaya, Mukhopadhaya Orthopaedic Clinic, India
Prof Giuseppe Nigri, Sapienza University of Rome, Italy
Dr Lena Nilsson, Linköping University Hospital, Sweden
Dr Fredric Pieracci, Denver Health Medical Center, USA
Dr Andrew Robson, University of Edinburgh, UK
Dr Jeffrey Varnell, Colorado Physician Insurance Companies (COPIC), USA
Dr Ryan Will, Olympia Orthopaedic Association, USA
Dr Gerald Zarlengo, Colorado Physician Insurance Companies, USA