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Table 1 Numbers of patient episodes/patients discussed and outcomes of the meeting

From: Developing a weekly patient safety and quality meeting in a medium-sized GI surgical unit in the United Kingdom

Length of stay > 7 days (n = 302 patient episodes) attributable to-
Complications 26% Normal variant of disease 59% Social reasons delaying discharge 15%
Unplanned readmission to our hospital (under any specialty) within 30 days of a previous discharge from the GI surgical service (n = 282 patient episodes)-
n = 282 Readmitted to GI Surgery 74%, Readmitted to other hospital specialties 26%
n = 282 Complications 19% Ongoing symptoms 39% Inadequate discharge arrangements <1% Unrelated separate episode 42%
Patient deaths in which there was a consultant GI surgical involvement (n = 48 patients)-
n = 48 Elective patients 8% Acute patients 92%
n = 48 Operated upon prior to death 38% Not operated upon prior to death 62%
n = 48 Expected deaths 65% Unexpected deaths 35%
n = 48 Senior decision making 98% No senior decision making 2%
Returns to theatre after initial operation within the same admission (n = 32 patients)-
n = 32 At least one unplanned return to theatre within same admission (24 patients) Planned returns to theatre- decision made at initial operation (8 patients)
Reasons- anastomotic leak (7), bleeding (3), full thickness wound dehiscence (2), Non-anastomotic infarcted bowel (2), operative abscess drainage (2), small bowel obstruction (2), other (6) Reasons- Planned re-look laparotomies (4), planned pre-discharge ERCP (1), planned re-endoscopic dilatation (1), insertion of CVP line in theatre (1), planned EUA of abscess (1)