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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...
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...
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 ...
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...
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.
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. ...
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 ...
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...
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...
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...
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...
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...
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 ...
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...
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...
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...
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...
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...
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...
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 ...
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...
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...
The operating room (OR) is one of the most expensive areas of a hospital, requiring large capital and recurring investments, and necessitating efficient throughput to reduce costs per patient encounter. On top...
The Reamer–Irrigator–Aspirator system was initially developed to reduce fat embolism and thermic necrosis during reamed intramedullary nail fixation of femoral shaft fractures. Currently, this system is used i...
The original article was published in Patient Safety in Surgery 2021 15:21
Antibiotic surgical prophylaxis is a core strategy for prevention of surgical site infections (SSI). Despite best practice guidelines and known efficacy of antibiotic prophylaxis in decreasing SSI risk, there ...
Comminuted intra-articular tibial pilon fractures can be challenging to manage, with high revision rates and poor functional outcomes. This study reviewed [1] treatment, complications, and clinical outcomes in...
American College of Surgeons level I trauma center verification requires an active research program. This study investigated differences in the research programs of academic and non-academic trauma centers.
Colectomy with transanal ileal pouch-anal anastomosis (taIPAA) is a surgical technique that can be used to treat benign colorectal disease. Ulcerative colitis is the most frequent inflammatory bowel disease (I...
Acute myocardial infarction (AMI) is an uncommon but fatal complication among patients undergoing elective spinal fusion surgery (SF), total hip arthroplasty (THA), and total knee arthroplasty (TKA). Our objec...
Postoperative adverse events after intramedullary nailing have been reported in patients with metastatic pathological and non-pathological femoral fractures. Other consequences to be considered are readmission...
To describe our experience with outpatient transperineal biopsy (TPB) without antibiotics compared to transrectal biopsy (TRB) with antibiotics and bowel preparation. The literature elicits comparable cancer d...
Teamwork in the operating theatre is a complex emergent phenomenon and is driven by cooperative relationships between staff. A foundational requirement for teamwork is the ability to communicate effectively, a...
Parastomal hernia (PH) is a common long-term complication in persons with an ostomy. Although the cause of PH may be multifactorial, the surgical technique employed for the creation of a stoma may be a risk fa...
Handover without a structured format is prone to the omission of information and could be a potential risk to patient safety. We sought to determine the effect of a structured checklist on the quality of intra...
A retained surgical item (RSI) is defined as a never-event and can have drastic consequences on patient, provider, and hospital. However, despite increased efforts, RSI events remain the number one sentinel event...
During surgery, surgeons often work under stressful conditions, which could affect patient safety. Reducing intraoperative stress for surgeons could benefit surgeons and subsequently patients. It is difficult ...
The original article was published in Patient Safety in Surgery 2021 15:20
Intravenous tranexamic acid (TXA) has been shown to reduce blood loss in patients undergoing total joint arthroplasty without systemic complications. There is limited evidence of its effectiveness in revision ...
The Correction to this article has been published in Patient Safety in Surgery 2022 16:1
The novel coronavirus disease 2019 (COVID-19) has infected more than 100 million people globally within the first year of the pandemic. With a death toll surpassing 500,000 in the United States alone, containi...
The Correction to this article has been published in Patient Safety in Surgery 2021 15:22
At the time of writing of this article, there have been over 110 million cases and 2.4 million deaths worldwide since the start of the Coronavirus Disease 2019 (COVID-19) pandemic, postponing millions of non-u...
An amendment to this paper has been published and can be accessed via the original article.
The original article was published in Patient Safety in Surgery 2020 14:44
Improving patient safety during anesthesia and surgery becomes a major global public health issue due to the increasing in surgical burden. Anesthesia is delivered safely in developed countries, but its safety...
The global coronavirus disease 2019 (COVID-19) pandemic spread has seized the entire world and has created extensive health concerns in the general population. Despite various efforts to prevent the pandemic s...
Colon surgical site infections (SSI) are detrimental to patient safety and wellbeing. To achieve clinical excellence, our hospital set to improve patient safety for those undergoing colon surgery. Our goal was...
A retained surgical sharp (RSS) is a never event and defined as a lost sharp (needle, blade, instrument, guidewire, metal fragment) that is not recovered prior to the patient leaving the operating room. A “nea...
Recommendations are for nearly universal venous thromboembolism (VTE) prophylaxis in critically ill hospitalized patients because of their well-recognized risks. In those intensive care units (ICUs) where pati...
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 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