Fatal Surgical or Procedure-Related Complications: A Finnish Registry-Based Study
Introduction In Finland, all healthcare personnel must be insured against causing patient injury. The Patient Insurance Centre (PIC) pays compensation in all cases of malpractice and in some cases of infection or other surgical complications. This study aimed to analyze all complaints relating to fa...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Hakala, Tapio [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2013 |
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| Schlagwörter: |
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| Anmerkung: |
© Société Internationale de Chirurgie 2013 |
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| Übergeordnetes Werk: |
Enthalten in: World Journal of Surgery - Springer-Verlag, 1996, 38(2013), 4 vom: 22. Nov., Seite 759-764 |
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| Übergeordnetes Werk: |
volume:38 ; year:2013 ; number:4 ; day:22 ; month:11 ; pages:759-764 |
| Links: |
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| DOI / URN: |
10.1007/s00268-013-2364-3 |
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SPR003447006 |
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| 520 | |a Introduction In Finland, all healthcare personnel must be insured against causing patient injury. The Patient Insurance Centre (PIC) pays compensation in all cases of malpractice and in some cases of infection or other surgical complications. This study aimed to analyze all complaints relating to fatal surgical or other procedure-related errors in Finland during 2006–2010. Materials and methods In total, 126 patients fulfilled the inclusion criteria. Details of patient care and decisions made by the PIC were reviewed, and the total national number of surgical procedures for the study period was obtained from the National Hospital Discharge Registry. Results Of the 94 patients who underwent surgery, most fatal surgical complications involved orthopedic or gastrointestinal surgery. Non-surgical procedures with fatal complications included deliveries (N = 10), upper gastrointestinal endoscopy or nasogastric tube insertion (N = 8), suprapubic catheter insertion (N = 4), lower intestinal endoscopy (N = 5), coronary angiogram (N = 1), pacemaker fitting (N = 1), percutaneous drainage of a hepatic abscess (N = 1), and chest tube insertion (N = 2). In 42 (33.3 %) cases, patient injury resulted from errors made during the procedure, including 24 technical errors and 15 errors of judgment. There were 19 (15.2 %) cases of inappropriate pre-operative assessment, 28 (22.4 %) errors made in postoperative follow-up, 23 (18.4 %) cases of fatal infection, and 11 (8.8 %) fatal complications not linked to treatment errors. Conclusion Fatal surgical and procedure-related complications are rare in Finland. Complications are usually the result of errors of judgment, technical errors, and infections. | ||
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10.1007/s00268-013-2364-3 doi (DE-627)SPR003447006 (SPR)s00268-013-2364-3-e DE-627 ger DE-627 rakwb eng Hakala, Tapio verfasserin aut Fatal Surgical or Procedure-Related Complications: A Finnish Registry-Based Study 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2013 Introduction In Finland, all healthcare personnel must be insured against causing patient injury. The Patient Insurance Centre (PIC) pays compensation in all cases of malpractice and in some cases of infection or other surgical complications. This study aimed to analyze all complaints relating to fatal surgical or other procedure-related errors in Finland during 2006–2010. Materials and methods In total, 126 patients fulfilled the inclusion criteria. Details of patient care and decisions made by the PIC were reviewed, and the total national number of surgical procedures for the study period was obtained from the National Hospital Discharge Registry. Results Of the 94 patients who underwent surgery, most fatal surgical complications involved orthopedic or gastrointestinal surgery. Non-surgical procedures with fatal complications included deliveries (N = 10), upper gastrointestinal endoscopy or nasogastric tube insertion (N = 8), suprapubic catheter insertion (N = 4), lower intestinal endoscopy (N = 5), coronary angiogram (N = 1), pacemaker fitting (N = 1), percutaneous drainage of a hepatic abscess (N = 1), and chest tube insertion (N = 2). In 42 (33.3 %) cases, patient injury resulted from errors made during the procedure, including 24 technical errors and 15 errors of judgment. There were 19 (15.2 %) cases of inappropriate pre-operative assessment, 28 (22.4 %) errors made in postoperative follow-up, 23 (18.4 %) cases of fatal infection, and 11 (8.8 %) fatal complications not linked to treatment errors. Conclusion Fatal surgical and procedure-related complications are rare in Finland. Complications are usually the result of errors of judgment, technical errors, and infections. Patient Injury (dpeaa)DE-He213 Fatal Complication (dpeaa)DE-He213 Financial Compensation (dpeaa)DE-He213 Chest Tube Insertion (dpeaa)DE-He213 National Hospital Discharge Registry (dpeaa)DE-He213 Vironen, Jaana aut Karlsson, Sari aut Pajarinen, Jarkko aut Hirvensalo, Eero aut Paajanen, Hannu aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 38(2013), 4 vom: 22. Nov., Seite 759-764 (DE-627)SPR003391159 nnns volume:38 year:2013 number:4 day:22 month:11 pages:759-764 https://dx.doi.org/10.1007/s00268-013-2364-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 38 2013 4 22 11 759-764 |
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10.1007/s00268-013-2364-3 doi (DE-627)SPR003447006 (SPR)s00268-013-2364-3-e DE-627 ger DE-627 rakwb eng Hakala, Tapio verfasserin aut Fatal Surgical or Procedure-Related Complications: A Finnish Registry-Based Study 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2013 Introduction In Finland, all healthcare personnel must be insured against causing patient injury. The Patient Insurance Centre (PIC) pays compensation in all cases of malpractice and in some cases of infection or other surgical complications. This study aimed to analyze all complaints relating to fatal surgical or other procedure-related errors in Finland during 2006–2010. Materials and methods In total, 126 patients fulfilled the inclusion criteria. Details of patient care and decisions made by the PIC were reviewed, and the total national number of surgical procedures for the study period was obtained from the National Hospital Discharge Registry. Results Of the 94 patients who underwent surgery, most fatal surgical complications involved orthopedic or gastrointestinal surgery. Non-surgical procedures with fatal complications included deliveries (N = 10), upper gastrointestinal endoscopy or nasogastric tube insertion (N = 8), suprapubic catheter insertion (N = 4), lower intestinal endoscopy (N = 5), coronary angiogram (N = 1), pacemaker fitting (N = 1), percutaneous drainage of a hepatic abscess (N = 1), and chest tube insertion (N = 2). In 42 (33.3 %) cases, patient injury resulted from errors made during the procedure, including 24 technical errors and 15 errors of judgment. There were 19 (15.2 %) cases of inappropriate pre-operative assessment, 28 (22.4 %) errors made in postoperative follow-up, 23 (18.4 %) cases of fatal infection, and 11 (8.8 %) fatal complications not linked to treatment errors. Conclusion Fatal surgical and procedure-related complications are rare in Finland. Complications are usually the result of errors of judgment, technical errors, and infections. Patient Injury (dpeaa)DE-He213 Fatal Complication (dpeaa)DE-He213 Financial Compensation (dpeaa)DE-He213 Chest Tube Insertion (dpeaa)DE-He213 National Hospital Discharge Registry (dpeaa)DE-He213 Vironen, Jaana aut Karlsson, Sari aut Pajarinen, Jarkko aut Hirvensalo, Eero aut Paajanen, Hannu aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 38(2013), 4 vom: 22. Nov., Seite 759-764 (DE-627)SPR003391159 nnns volume:38 year:2013 number:4 day:22 month:11 pages:759-764 https://dx.doi.org/10.1007/s00268-013-2364-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 38 2013 4 22 11 759-764 |
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10.1007/s00268-013-2364-3 doi (DE-627)SPR003447006 (SPR)s00268-013-2364-3-e DE-627 ger DE-627 rakwb eng Hakala, Tapio verfasserin aut Fatal Surgical or Procedure-Related Complications: A Finnish Registry-Based Study 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2013 Introduction In Finland, all healthcare personnel must be insured against causing patient injury. The Patient Insurance Centre (PIC) pays compensation in all cases of malpractice and in some cases of infection or other surgical complications. This study aimed to analyze all complaints relating to fatal surgical or other procedure-related errors in Finland during 2006–2010. Materials and methods In total, 126 patients fulfilled the inclusion criteria. Details of patient care and decisions made by the PIC were reviewed, and the total national number of surgical procedures for the study period was obtained from the National Hospital Discharge Registry. Results Of the 94 patients who underwent surgery, most fatal surgical complications involved orthopedic or gastrointestinal surgery. Non-surgical procedures with fatal complications included deliveries (N = 10), upper gastrointestinal endoscopy or nasogastric tube insertion (N = 8), suprapubic catheter insertion (N = 4), lower intestinal endoscopy (N = 5), coronary angiogram (N = 1), pacemaker fitting (N = 1), percutaneous drainage of a hepatic abscess (N = 1), and chest tube insertion (N = 2). In 42 (33.3 %) cases, patient injury resulted from errors made during the procedure, including 24 technical errors and 15 errors of judgment. There were 19 (15.2 %) cases of inappropriate pre-operative assessment, 28 (22.4 %) errors made in postoperative follow-up, 23 (18.4 %) cases of fatal infection, and 11 (8.8 %) fatal complications not linked to treatment errors. Conclusion Fatal surgical and procedure-related complications are rare in Finland. Complications are usually the result of errors of judgment, technical errors, and infections. Patient Injury (dpeaa)DE-He213 Fatal Complication (dpeaa)DE-He213 Financial Compensation (dpeaa)DE-He213 Chest Tube Insertion (dpeaa)DE-He213 National Hospital Discharge Registry (dpeaa)DE-He213 Vironen, Jaana aut Karlsson, Sari aut Pajarinen, Jarkko aut Hirvensalo, Eero aut Paajanen, Hannu aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 38(2013), 4 vom: 22. Nov., Seite 759-764 (DE-627)SPR003391159 nnns volume:38 year:2013 number:4 day:22 month:11 pages:759-764 https://dx.doi.org/10.1007/s00268-013-2364-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 38 2013 4 22 11 759-764 |
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10.1007/s00268-013-2364-3 doi (DE-627)SPR003447006 (SPR)s00268-013-2364-3-e DE-627 ger DE-627 rakwb eng Hakala, Tapio verfasserin aut Fatal Surgical or Procedure-Related Complications: A Finnish Registry-Based Study 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2013 Introduction In Finland, all healthcare personnel must be insured against causing patient injury. The Patient Insurance Centre (PIC) pays compensation in all cases of malpractice and in some cases of infection or other surgical complications. This study aimed to analyze all complaints relating to fatal surgical or other procedure-related errors in Finland during 2006–2010. Materials and methods In total, 126 patients fulfilled the inclusion criteria. Details of patient care and decisions made by the PIC were reviewed, and the total national number of surgical procedures for the study period was obtained from the National Hospital Discharge Registry. Results Of the 94 patients who underwent surgery, most fatal surgical complications involved orthopedic or gastrointestinal surgery. Non-surgical procedures with fatal complications included deliveries (N = 10), upper gastrointestinal endoscopy or nasogastric tube insertion (N = 8), suprapubic catheter insertion (N = 4), lower intestinal endoscopy (N = 5), coronary angiogram (N = 1), pacemaker fitting (N = 1), percutaneous drainage of a hepatic abscess (N = 1), and chest tube insertion (N = 2). In 42 (33.3 %) cases, patient injury resulted from errors made during the procedure, including 24 technical errors and 15 errors of judgment. There were 19 (15.2 %) cases of inappropriate pre-operative assessment, 28 (22.4 %) errors made in postoperative follow-up, 23 (18.4 %) cases of fatal infection, and 11 (8.8 %) fatal complications not linked to treatment errors. Conclusion Fatal surgical and procedure-related complications are rare in Finland. Complications are usually the result of errors of judgment, technical errors, and infections. Patient Injury (dpeaa)DE-He213 Fatal Complication (dpeaa)DE-He213 Financial Compensation (dpeaa)DE-He213 Chest Tube Insertion (dpeaa)DE-He213 National Hospital Discharge Registry (dpeaa)DE-He213 Vironen, Jaana aut Karlsson, Sari aut Pajarinen, Jarkko aut Hirvensalo, Eero aut Paajanen, Hannu aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 38(2013), 4 vom: 22. Nov., Seite 759-764 (DE-627)SPR003391159 nnns volume:38 year:2013 number:4 day:22 month:11 pages:759-764 https://dx.doi.org/10.1007/s00268-013-2364-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 38 2013 4 22 11 759-764 |
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10.1007/s00268-013-2364-3 doi (DE-627)SPR003447006 (SPR)s00268-013-2364-3-e DE-627 ger DE-627 rakwb eng Hakala, Tapio verfasserin aut Fatal Surgical or Procedure-Related Complications: A Finnish Registry-Based Study 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2013 Introduction In Finland, all healthcare personnel must be insured against causing patient injury. The Patient Insurance Centre (PIC) pays compensation in all cases of malpractice and in some cases of infection or other surgical complications. This study aimed to analyze all complaints relating to fatal surgical or other procedure-related errors in Finland during 2006–2010. Materials and methods In total, 126 patients fulfilled the inclusion criteria. Details of patient care and decisions made by the PIC were reviewed, and the total national number of surgical procedures for the study period was obtained from the National Hospital Discharge Registry. Results Of the 94 patients who underwent surgery, most fatal surgical complications involved orthopedic or gastrointestinal surgery. Non-surgical procedures with fatal complications included deliveries (N = 10), upper gastrointestinal endoscopy or nasogastric tube insertion (N = 8), suprapubic catheter insertion (N = 4), lower intestinal endoscopy (N = 5), coronary angiogram (N = 1), pacemaker fitting (N = 1), percutaneous drainage of a hepatic abscess (N = 1), and chest tube insertion (N = 2). In 42 (33.3 %) cases, patient injury resulted from errors made during the procedure, including 24 technical errors and 15 errors of judgment. There were 19 (15.2 %) cases of inappropriate pre-operative assessment, 28 (22.4 %) errors made in postoperative follow-up, 23 (18.4 %) cases of fatal infection, and 11 (8.8 %) fatal complications not linked to treatment errors. Conclusion Fatal surgical and procedure-related complications are rare in Finland. Complications are usually the result of errors of judgment, technical errors, and infections. Patient Injury (dpeaa)DE-He213 Fatal Complication (dpeaa)DE-He213 Financial Compensation (dpeaa)DE-He213 Chest Tube Insertion (dpeaa)DE-He213 National Hospital Discharge Registry (dpeaa)DE-He213 Vironen, Jaana aut Karlsson, Sari aut Pajarinen, Jarkko aut Hirvensalo, Eero aut Paajanen, Hannu aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 38(2013), 4 vom: 22. Nov., Seite 759-764 (DE-627)SPR003391159 nnns volume:38 year:2013 number:4 day:22 month:11 pages:759-764 https://dx.doi.org/10.1007/s00268-013-2364-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 38 2013 4 22 11 759-764 |
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The Patient Insurance Centre (PIC) pays compensation in all cases of malpractice and in some cases of infection or other surgical complications. This study aimed to analyze all complaints relating to fatal surgical or other procedure-related errors in Finland during 2006–2010. Materials and methods In total, 126 patients fulfilled the inclusion criteria. Details of patient care and decisions made by the PIC were reviewed, and the total national number of surgical procedures for the study period was obtained from the National Hospital Discharge Registry. Results Of the 94 patients who underwent surgery, most fatal surgical complications involved orthopedic or gastrointestinal surgery. Non-surgical procedures with fatal complications included deliveries (N = 10), upper gastrointestinal endoscopy or nasogastric tube insertion (N = 8), suprapubic catheter insertion (N = 4), lower intestinal endoscopy (N = 5), coronary angiogram (N = 1), pacemaker fitting (N = 1), percutaneous drainage of a hepatic abscess (N = 1), and chest tube insertion (N = 2). In 42 (33.3 %) cases, patient injury resulted from errors made during the procedure, including 24 technical errors and 15 errors of judgment. There were 19 (15.2 %) cases of inappropriate pre-operative assessment, 28 (22.4 %) errors made in postoperative follow-up, 23 (18.4 %) cases of fatal infection, and 11 (8.8 %) fatal complications not linked to treatment errors. Conclusion Fatal surgical and procedure-related complications are rare in Finland. 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Fatal Surgical or Procedure-Related Complications: A Finnish Registry-Based Study |
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Hakala, Tapio |
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World Journal of Surgery |
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World Journal of Surgery |
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eng |
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2013 |
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Hakala, Tapio Vironen, Jaana Karlsson, Sari Pajarinen, Jarkko Hirvensalo, Eero Paajanen, Hannu |
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38 |
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Elektronische Aufsätze |
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Hakala, Tapio |
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10.1007/s00268-013-2364-3 |
| title_sort |
fatal surgical or procedure-related complications: a finnish registry-based study |
| title_auth |
Fatal Surgical or Procedure-Related Complications: A Finnish Registry-Based Study |
| abstract |
Introduction In Finland, all healthcare personnel must be insured against causing patient injury. The Patient Insurance Centre (PIC) pays compensation in all cases of malpractice and in some cases of infection or other surgical complications. This study aimed to analyze all complaints relating to fatal surgical or other procedure-related errors in Finland during 2006–2010. Materials and methods In total, 126 patients fulfilled the inclusion criteria. Details of patient care and decisions made by the PIC were reviewed, and the total national number of surgical procedures for the study period was obtained from the National Hospital Discharge Registry. Results Of the 94 patients who underwent surgery, most fatal surgical complications involved orthopedic or gastrointestinal surgery. Non-surgical procedures with fatal complications included deliveries (N = 10), upper gastrointestinal endoscopy or nasogastric tube insertion (N = 8), suprapubic catheter insertion (N = 4), lower intestinal endoscopy (N = 5), coronary angiogram (N = 1), pacemaker fitting (N = 1), percutaneous drainage of a hepatic abscess (N = 1), and chest tube insertion (N = 2). In 42 (33.3 %) cases, patient injury resulted from errors made during the procedure, including 24 technical errors and 15 errors of judgment. There were 19 (15.2 %) cases of inappropriate pre-operative assessment, 28 (22.4 %) errors made in postoperative follow-up, 23 (18.4 %) cases of fatal infection, and 11 (8.8 %) fatal complications not linked to treatment errors. Conclusion Fatal surgical and procedure-related complications are rare in Finland. Complications are usually the result of errors of judgment, technical errors, and infections. © Société Internationale de Chirurgie 2013 |
| abstractGer |
Introduction In Finland, all healthcare personnel must be insured against causing patient injury. The Patient Insurance Centre (PIC) pays compensation in all cases of malpractice and in some cases of infection or other surgical complications. This study aimed to analyze all complaints relating to fatal surgical or other procedure-related errors in Finland during 2006–2010. Materials and methods In total, 126 patients fulfilled the inclusion criteria. Details of patient care and decisions made by the PIC were reviewed, and the total national number of surgical procedures for the study period was obtained from the National Hospital Discharge Registry. Results Of the 94 patients who underwent surgery, most fatal surgical complications involved orthopedic or gastrointestinal surgery. Non-surgical procedures with fatal complications included deliveries (N = 10), upper gastrointestinal endoscopy or nasogastric tube insertion (N = 8), suprapubic catheter insertion (N = 4), lower intestinal endoscopy (N = 5), coronary angiogram (N = 1), pacemaker fitting (N = 1), percutaneous drainage of a hepatic abscess (N = 1), and chest tube insertion (N = 2). In 42 (33.3 %) cases, patient injury resulted from errors made during the procedure, including 24 technical errors and 15 errors of judgment. There were 19 (15.2 %) cases of inappropriate pre-operative assessment, 28 (22.4 %) errors made in postoperative follow-up, 23 (18.4 %) cases of fatal infection, and 11 (8.8 %) fatal complications not linked to treatment errors. Conclusion Fatal surgical and procedure-related complications are rare in Finland. Complications are usually the result of errors of judgment, technical errors, and infections. © Société Internationale de Chirurgie 2013 |
| abstract_unstemmed |
Introduction In Finland, all healthcare personnel must be insured against causing patient injury. The Patient Insurance Centre (PIC) pays compensation in all cases of malpractice and in some cases of infection or other surgical complications. This study aimed to analyze all complaints relating to fatal surgical or other procedure-related errors in Finland during 2006–2010. Materials and methods In total, 126 patients fulfilled the inclusion criteria. Details of patient care and decisions made by the PIC were reviewed, and the total national number of surgical procedures for the study period was obtained from the National Hospital Discharge Registry. Results Of the 94 patients who underwent surgery, most fatal surgical complications involved orthopedic or gastrointestinal surgery. Non-surgical procedures with fatal complications included deliveries (N = 10), upper gastrointestinal endoscopy or nasogastric tube insertion (N = 8), suprapubic catheter insertion (N = 4), lower intestinal endoscopy (N = 5), coronary angiogram (N = 1), pacemaker fitting (N = 1), percutaneous drainage of a hepatic abscess (N = 1), and chest tube insertion (N = 2). In 42 (33.3 %) cases, patient injury resulted from errors made during the procedure, including 24 technical errors and 15 errors of judgment. There were 19 (15.2 %) cases of inappropriate pre-operative assessment, 28 (22.4 %) errors made in postoperative follow-up, 23 (18.4 %) cases of fatal infection, and 11 (8.8 %) fatal complications not linked to treatment errors. Conclusion Fatal surgical and procedure-related complications are rare in Finland. Complications are usually the result of errors of judgment, technical errors, and infections. © Société Internationale de Chirurgie 2013 |
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Fatal Surgical or Procedure-Related Complications: A Finnish Registry-Based Study |
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https://dx.doi.org/10.1007/s00268-013-2364-3 |
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Vironen, Jaana Karlsson, Sari Pajarinen, Jarkko Hirvensalo, Eero Paajanen, Hannu |
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Vironen, Jaana Karlsson, Sari Pajarinen, Jarkko Hirvensalo, Eero Paajanen, Hannu |
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2024-07-03T19:32:07.870Z |
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