Riassunto
La chirurgia è, per varie ragioni, una delle attività cliniche a maggior rischio: l’incertezza derivante dalla variabilità biologica del paziente, la complessità delle situazioni che interagiscono tra loro, le priorità che rapidamente cambiano, la dipendenza dal team work, il differente livello di abilità tecnica del chirurgo. L’esito di un trattamento chirurgico viene spesso fatto dipendere dalla situazione clinica del paziente e dalla professionalità del chirurgo ma, in realtà, è fortemente influenzato dal buon funzionamento di tutto il processo clinico/ organizzativo che è molto complesso e fortemente dipendente da fattori ergonomici, importanti per il conseguimento di una performance sicura e di qualità. Tali fattori non riguardano il solo chirurgo ma tutti i professionisti sanitari coinvolti durante ogni singola fase del percorso clinico-assistenziale, prima, durante e dopo l’accesso in sala operatoria.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Bibliografia
Ministero del Lavoro della Salute (2010) Rapporto annuale sull’attività di ricovero ospedaliero. Dati SDO 2010. www.salute.gov.it/imgs/C_17_pubblicazioni_1690_allegato.pdf
Healey MA, Shackford SR, Osler TM et al (2002) Complications in surgical patients. Arch Surg 137:611–618
Prospero E, Cavicchi A, Bacelli S et al (2006) Surveillance for surgical site infection after hospital discharge. A surgical procedure-specific perspective. Infect Control Hosp Epidemiol 12:1313–1317
Tartaglia R, Albolino S, Bellandi T et al (2012) Adverse events and preventable consequences: retrospective study in five large Italian hospitals. Epidemiol Prev 36(3–4):151–161
de Vries EN, Ramrattan MA, Smorenburg SM et al (2008) The incidence and nature of inhospital adverse events: a systematic review. Qual Saf Health Care 17(3):216–223
Kraus TW, Buchler MW, Herfarth C (2005) Relationships between volume, and quality in surgery — a delicate balance from managerial perspectives. World J Surg 29:1234–1240
Main DS, Cavender TA, Nowels CT et al (2007) Relationship of processes and structures of care in general surgery to postoperative outcomes: a qualitative analysis. J Am Coll Surg 204(6):1147–1156
Davoli M, Amato L, Minozzi S et al (2005) Volume and health outcomes: an overview of systematic reviews. Epidemiol Prev 29(3–4 Suppl):3–63
Archampong D, Borowski D, Wille-Jørgensen P, Iversen LH (2012) Workload and surgeon’s specialty for outcome after colorectal cancer surgery. Cochrane Database Syst Rev 3:CD005391
Chang CM, Huang KY, Hsu TW et al (2012) Multivariate analyses to assess the effects of surgeon and hospital volume on cancer survival rates: a nation wide population-based study in Taiwan. PLoSOne 7(7):e40590
Kohn LT, Corrigan JM, Donaldson MS (1999) To err is human: building a safer health system. Committee on quality. In: America. Institute of Medicine. National Academic Press, Washington, DC
Gordon NL, Dawson AA, Bennet B et al (1993) Outcome in colorectal adenocarcinoma: two seven year studies of a population. BMJ 307:707–710
Healey MA, Shackford SR, Osler TM et al (2002) Complications in surgical patients. Arch Surg 137:611–618
Neale G, Woloshynowych M, Vincent CA (2001) Exploring the causes of adverse events in NHS hospital practice. J R Soc Med 94:322–330
Vincent C, Moorthy K, Sarker SK et al (2004) System approaches to surgical quality and safety. From concept to measurement. Ann Surg 239(4):475–482
Catchpole KR, Giddins AE, Wilkinson M et al (2007) Improving patient safety by identifying latent failures in successful operations. Surgery 142:102–110
Burnett S, Franklin BD, Moorthy K et al (2012) How reliable are clinical systems in the UK NHS? A study of seven NHS organizations. BMJ Qual Saf 21(6):466–472
Symons NR, Almoudaris AM, Nagpal K et al (2012) An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery. Ann Surg 257:1–5
Amalberti R, Auroy Y, Berwick D, Barach P (2005) Five system barriers to achieving ultrasafe health care. Ann Intern Med 42(9):756–764
Yule S, Flin R, Paterson-Brown S, Maran N (2006) Non technical skills for surgeons in the operating room: a review of the literature. Surgery 139(2):140–149
Nagpal K, Arora S, Vats A et al (2012) Failures in communication and information transfer across the surgical care pathway: interview study. BMJ Qual Saf 21(10):843–849
Gawande AA, Weiser TG (2008) World Health Organization guidelines for safe surgery. World Health Organization, Geneva
Haynes AB, Weiser TG, Gawande AA et al (2009) A surgical safety checklist to reduce morbidity and mortality in a global population. New Engl J Med 360(5):491–499
deVries EN, Hollmann MW, Smorenburg SM et al (2009) Development and validation of the SURgical Patient Safety System (SURPASS) checklist. Qual Saf Health Care 18(2):121–126
Toccafondi G, Albolino S, Tartaglia R et al (2012) Analysis of the interface between high acuity and low acuity care: the collaborative communication model for patient handover. BMJ Qual Saf 21(Suppl 1):58–66
Centro Gestione Rischio Clinico e Sicurezza del Paziente (2008) Aida o Lidia. Perché il paziente non è solo un nome. http://www.regione.toscana.it/rischioclinico/comunicazione/collane/ index. html, accesso 11 dicembre 2012
Barach P, Small SD (2000) Reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems. BMJ 320:759–763
Mellin-Olsen J, Staender S, Whitaker DK, Smith AF (2010) The Helsinki Declaration on patient safety in Anaesthesiology. Eur J Anaesthesiol 27:592–597
Lagasse RS (2002) Anesthesia safety: model or myth? A review of the published literature and analysis of current original data. Anesthesiology 97:1609–1617
Catchpole K, Bell MD, Johnson S (2008) Safety in anaesthesia: a study of 12,606 reported incidents from the UK National Reporting and Learning System. Anaesthesia 63:340–346
Merry AF (2008) Safety in anaesthesia: reporting incidents and learning from them. Anaesthesia 63:337–398
Staender SEA, Mahajan RP (2011) Anesthesia and patient safety: have we reached our limits? Curr Opin Anesthesiol 24:349–353
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer-Verlag Italia
About this chapter
Cite this chapter
Ninu, M.B., Tulli, G., Venneri, F. (2013). Chirurgia. In: Tartaglia, R., Vannucci, A. (eds) Prevenire gli eventi avversi nella pratica clinica. Springer, Milano. https://doi.org/10.1007/978-88-470-5450-9_9
Download citation
DOI: https://doi.org/10.1007/978-88-470-5450-9_9
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-5449-3
Online ISBN: 978-88-470-5450-9
eBook Packages: MedicineMedicine (R0)