Clinical events reported by surgeons assessing their peers

Rey-Conde, Therese, Wysocki, Arkadiusz P., North, John B., Allen, Jennifer, Ware, Robert S. and Watters, David A. (2016) Clinical events reported by surgeons assessing their peers. American Journal of Surgery, 212 4: 748-754. doi:10.1016/j.amjsurg.2016.01.027


Author Rey-Conde, Therese
Wysocki, Arkadiusz P.
North, John B.
Allen, Jennifer
Ware, Robert S.
Watters, David A.
Title Clinical events reported by surgeons assessing their peers
Journal name American Journal of Surgery   Check publisher's open access policy
ISSN 1879-1883
0002-9610
Publication date 2016-06-23
Year available 2016
Sub-type Article (original research)
DOI 10.1016/j.amjsurg.2016.01.027
Open Access Status Not Open Access
Volume 212
Issue 4
Start page 748
End page 754
Total pages 7
Place of publication Philadelphia, United States
Publisher Elsevier
Collection year 2017
Language eng
Formatted abstract
Background
All surgical deaths in Queensland, Australia are reviewed by external surgeon peers, and clinical events are recorded. The study objective was to classify clinical events in surgical patients who died.

Methods
Deaths notified to the Queensland Audit of Surgical Mortality between 2007 and 2013 were assessed by surgeons' peers who decided whether a clinical event occurred. The most serious clinical event per patient was analyzed.

Results
Peer surgeons reviewed 4,816 deaths. Most patients (70.7%) had no clinical event. Events were preventable in 58% of patients and less than 1 in 10 events was severe. The most frequent events were classified as patient assessment (34.5%), suboptimal therapy (15.3%), and delays (15.1%).

Conclusions

Peer review of all surgical deaths identifies preventable clinical events and provides opportunities to improve decision making, better therapy and reduce delay in implementing appropriate surgical care. Review feedback to surgeons and other stakeholders should improve patient safety and quality.
Keyword Clinical audit
Clinical event
Patient safety
Peer review
Surgical mortality
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Public Health Publications
 
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