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Plast Reconstr Surg. 2012 Jun;129(6):1421-7. doi: 10.1097/PRS.0b013e31824ecda0.

Complications in surgery: root cause analysis and preventive measures.

Author information

1
Section of Plastic Surgery, Department of Surgery, University of Michigan Health System, Ann Arbor, USA. kecchung@med.umich.edu

Abstract

Patients expect to receive quality medical care by relying on the concepts of evidence-based medicine. This quality care is expected to be provided at decreased costs for payors, some of whom have stopped reimbursement for cases involving "reasonably preventable" surgical complications. The purpose of this article is to introduce root cause analysis as a tool for identifying the causes of surgical complications. The authors also discuss preventive measures, such as improved communication, checklists, reporting systems, and the use of evidence-based medicine, that have been implemented to decrease surgical complications. These preventive measures can be used alone or together to decrease complications and improve overall patient care.

PMID:
22634659
PMCID:
PMC3361686
DOI:
10.1097/PRS.0b013e31824ecda0
[Indexed for MEDLINE]
Free PMC Article
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