Table 7 A selection of well-known interventions to reduce surgical adverse events tailored to the selected prevention strategies in this study
Main potential prevention strategies selected by the surgeon reviewers (see Table 6) | Interventions to reduce the incidence of surgical adverse events |
|---|---|
Quality assurance/peer review (Continuously monitoring quality and assessment of health care workers performance by individuals in the same field) | Patient record review [44, 45] |
Training (improving (re) training programs for skills needed) | Training for improvement of skills and for implementation of new techniques (e.g. simulation training) [29–31] Improving training and supervision of residents [26] |
Evaluation (evaluating the current way of behaving regarding safety) | Multisource feedback to asses performance [49] Portfolio of competence and performance [50] |
Procedures (improving formal and informal procedures) | Localizing specific surgical procedures and surgeries to high-volume centers [32, 33, 38] Improve compliance to existing protocols and guidelines for infection prevention: appropriate use of antibiotic prophylaxis, hand hygiene, sterilization of instruments, minimum number of persons in the operation theatre, reduction of door movements during operations [15, 38–43] |
Information and communication (improving available sources of information, communication structures and medical record keeping) | Operation room briefing with team communication checklist [34–36] Application of aviation-style crew resource management to improve teamwork [37] Improvement of completeness and adequacy of patient information and record keeping [53] |