Antoine Duclos

Learn More
OBJECTIVE To determine the association between surgeons' experience and postoperative complications in thyroid surgery. DESIGN Prospective cross sectional multicentre study. SETTING High volume referral centres in five academic hospitals in France. PARTICIPANTS All patients who underwent a thyroidectomy undertaken by every surgeon in these hospitals(More)
BACKGROUND Postoperative delirium is common in the elderly and is associated with a significant increase in mortality, complications, length of hospital stay and admission in long care facility. Although several interventions have proved their effectiveness to prevent it, the Cochrane advises an assessment of multifaceted intervention using rigorous(More)
BACKGROUND The p-chart is a user-friendly tool for monitoring adverse events. By converting data into knowledge, it is helpful in interpreting and reducing sources of variability in care. Certain basics for developing expertise to use p-charts correctly are necessary. PURPOSE This paper provides key elements on how to develop and interpret a p-chart for(More)
BACKGROUND Adverse drug events could often be prevented. One of their main causes is that patients rarely know how to detect them. Another cause is inadequate communication between patients and physicians. If patients were to be effectively trained in detecting and reporting adverse drug events, this should help to prevent their occurrence and subsequent(More)
INTRODUCTION Patient-safety monitoring based on health-outcome indicators can lead to misinterpretation of changes in case mix. This study aimed to compare the detection of indicator variations between crude and case-mix-adjusted control charts using data from thyroid surgeries. METHODS The study population included each patient who underwent thyroid(More)
BACKGROUND Efforts to provide a valid picture of surgeons' individual performance evolution should frame their outcomes in relation to what is expected depending on their experience. We derived the learning curve of young thyroidectomy surgeons as a baseline to enable the accurate assessment of their individual outcomes and avoid erroneous conclusions that(More)
BACKGROUND Mass tourism during winter in mountain areas may cause significant clustering of body injuries leading to increasing emergency admissions at hospital. We aimed at assessing if surgical safety and efficiency was maintained in this particular context. METHODS We selected all emergency admissions of open surgery performed in French hospitals(More)
BACKGROUND Accreditation usually requires that healthcare staff assess the quality of care delivered to patients in their own hospitals. It is unknown whether this assessment depends on the workplace rather than on the professional category of health personnel. OBJECTIVE We aimed to identify major determinants of the perception of various categories of(More)
BACKGROUND The emergency department has been identified as an area within the health care sector with the highest reports of violence. The best way to control violence is to prevent it before it becomes an issue. Ideally, to prevent violent episodes we should eliminate all triggers of frustration and violence. Our study aims to assess the impact of a(More)
OBJECTIVES To determine whether an innovative graphical tool for accurate measurement of individual surgeon performance metrics, adjusted for both surgeon-specific and patient-specific factors, significantly alters interpretation of performance data. DESIGN Retrospective analysis of all total knee replacements (TKRs) conducted at the host institution(More)