Preventable adverse events in surgical patients: A meta-analysis and knowledge, attitude, and practice (KAP) assessment

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dc.contributor.advisorOddone Paolucci, Elizabeth
dc.contributor.authorAustin, Janice Lynn
dc.contributor.committeememberDonnon, Tyrone L.
dc.contributor.committeememberBuie, Donald
dc.date2018-06
dc.date.accessioned2018-04-10T21:37:47Z
dc.date.available2018-04-10T21:37:47Z
dc.date.issued2018-04-09
dc.description.abstractAll surgical procedures come with a risk of adverse events (AEs). To improve patient safety and prevent similar errors in the future, errors must be acknowledged and addressed. In this study a meta-analysis of patient safety literature in surgery was conducted and a Knowledge, Attitudes, and Practice (KAP) assessment survey of Calgary academic surgeons was performed.Results of the meta-analysis demonstrated a preventable adverse event (PAE) rate of 10.5 PAEs per 100 patients across all surgical specialties and a preventable death rate of 0.5 per 100 surgical patients. The KAP survey assessment demonstrated that 20% of surgeons could correctly identify the definition of both AE and error. Participants reported the factors contributing to an error to be multifactorial. The most frequently used methods to teach patient safety were Morbidity and Mortality rounds and individual feedback. Less than 25% of surgeons track their own AE rate. These results have implications for surgical postgraduate education, as well as for surgical practice in Canada. Recommendations are made for the development of a formal patient safety curriculum for all surgical trainees, with the aim of decreasing the number of errors. In addition, it is essential that more high-quality studies that include reproducible methods and consistent definitions of AEs and errors be conducted.en_US
dc.identifier.citationAustin, J. L. (2018). Preventable adverse events in surgical patients: a meta-analysis and knowledge, attitude, and practice (KAP) assessment (Master's thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca. doi:10.11575/PRISM/31777en_US
dc.identifier.doihttp://dx.doi.org/10.11575/PRISM/31777
dc.identifier.urihttp://hdl.handle.net/1880/106489
dc.language.isoeng
dc.publisher.facultyCumming School of Medicine
dc.publisher.facultyGraduate Studies
dc.publisher.institutionUniversity of Calgaryen
dc.publisher.placeCalgaryen
dc.rightsUniversity of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.
dc.subjectMedical Education
dc.subjectSurgery
dc.subjectsurvey
dc.subjectmeta-analysis
dc.subjectadverse event
dc.subjecterror
dc.subject.classificationEducationen_US
dc.subject.classificationMedicine and Surgeryen_US
dc.titlePreventable adverse events in surgical patients: A meta-analysis and knowledge, attitude, and practice (KAP) assessment
dc.typemaster thesis
thesis.degree.disciplineMedical Science
thesis.degree.disciplineMedical Education
thesis.degree.grantorUniversity of Calgary
thesis.degree.nameMaster of Science (MSc)
ucalgary.item.requestcopytrue
ucalgary.thesis.checklistI confirm that I have submitted all of the required forms to Faculty of Graduate Studies.en_US
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