A systems approach to surgical safety

  title={A systems approach to surgical safety},
  author={James Forrest Calland and Stephanie Guerlain and Ren{\'e}e B. Adams and Curtis G. Tribble and Ellen E. Foley and E. G. Chekan},
  journal={Surgical Endoscopy And Other Interventional Techniques},
The documented and “accepted” incident rates in surgery are unacceptably high. Incident rates of 1–5% are generally accepted as a normal part of practice. Current morbidity and mortality reporting, while important, does not sufficiently examine or expose the active and latent errors that lead to adverse outcomes. Further. there is no process in place for systematically learning from surgical incident data so that appropriate changes can be incorporated in practice. Other high-risk industries… CONTINUE READING