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<p>Global healthcare system faces an urgent need to tackle surgical errors amid downstream issues caused by resource constraints and burgeoning demands for science and technology. Studies are needed to find tailor-made improvements in particular settings viz. surgical timeouts and verification of surgery site amid infrastructural changes embracing advances in science and technology. This review provides a conceptual and contextual framework to locate surgical errors and consequences to innovate ways to improve patient safety. Search of databases viz. PubMed, Scopus, Google Scholar, and ResearchGate was conducted from among published literatures that included definition, classification, and categorization of surgical adverse event and errors, checklist, and safety issues across surgical disciplines in their pre-, intra-, and post-operative phases, further allowing and including references of literature sourced as potentially relevant studies. From 22 published literatures, we reported outcomes including adverse events, complications, and errors. Variations of a reported scale of a surgical error stemmed from the absence of universally accepted definition, categorization, classification, and research method. In orthopedics, risk factors for the wrong-site surgery mostly occur among other surgical errors. The WHO-promoted checklist has been globally tried in array of settings as a promising tool to mitigate errors. Ongoing studies to improve the paradigm of quality of perioperative care is identifying potential hazards to reduce complications, suggested capacity building, and improved communication among operating room personnel as key to patient safety. Ethical practice of care should be a mainstay to optimize patient safety by improvised checklists in different set-ups for optimum clinical outcomes. Significant upgrading in outcomes can be attained by scrutinizing a total surgical work corridor by rigorous adherence to safety protocols before, during, and after operation as majority errors transpire outside operating table.</p>

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Impact Evaluation of Surgical Errors on the Healthcare—A Systematic Review

  • 期刊论文

  • 发表日期：

    2025年2月17日

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  • Kaushik Bhattacharya,
  • Subhasish Chatterjee,
  • Amrita Ghosh,
  • Ranabir Pal

摘要

Global healthcare system faces an urgent need to tackle surgical errors amid downstream issues caused by resource constraints and burgeoning demands for science and technology. Studies are needed to find tailor-made improvements in particular settings viz. surgical timeouts and verification of surgery site amid infrastructural changes embracing advances in science and technology. This review provides a conceptual and contextual framework to locate surgical errors and consequences to innovate ways to improve patient safety. Search of databases viz. PubMed, Scopus, Google Scholar, and ResearchGate was conducted from among published literatures that included definition, classification, and categorization of surgical adverse event and errors, checklist, and safety issues across surgical disciplines in their pre-, intra-, and post-operative phases, further allowing and including references of literature sourced as potentially relevant studies. From 22 published literatures, we reported outcomes including adverse events, complications, and errors. Variations of a reported scale of a surgical error stemmed from the absence of universally accepted definition, categorization, classification, and research method. In orthopedics, risk factors for the wrong-site surgery mostly occur among other surgical errors. The WHO-promoted checklist has been globally tried in array of settings as a promising tool to mitigate errors. Ongoing studies to improve the paradigm of quality of perioperative care is identifying potential hazards to reduce complications, suggested capacity building, and improved communication among operating room personnel as key to patient safety. Ethical practice of care should be a mainstay to optimize patient safety by improvised checklists in different set-ups for optimum clinical outcomes. Significant upgrading in outcomes can be attained by scrutinizing a total surgical work corridor by rigorous adherence to safety protocols before, during, and after operation as majority errors transpire outside operating table.