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Incidence of concurrent surgery in Pennsylvania
Incidence of concurrent surgery in Pennsylvania
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Pennsylvania patient safety advisory
- Contributor(s):
- Pennsylvania. Patient Safety Authority, issuing body.
- Publication:
- [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, March 2019
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Medical Errors
Surgical Procedures, Operative -- methods
Pennsylvania
United States - Genre(s):
- Technical Report
- Abstract:
- In late 2018, the Pennsylvania Patient Safety Authority received an inquiry about whether healthcare facilities in Pennsylvania had reported events of concurrent surgery. In response, the Authority queried its database for both concurrent and overlapping surgery that occurred in 2017. In 2016, the American College of Surgeons published a bulletin (http://bulletin.facs.org/2016/06/looking-forward-june-2016/) that defined overlapping and concurrent surgeries as follows: "Overlapping--critical elements of the first operation are complete and the primary surgeon is no longer needed. The surgeon may supervise the start of another operation while a qualified healthcare professional performs the final rudimentary components of the first operation. Less commonly, the primary surgeon will have completed the critical elements of the first operation and begun performing key portions of the second procedure in another room. Concurrent--critical or key components of the procedure for which the primary attending is responsible are occurring all or in part at the same time." ACS does not support concurrent surgery, stating: "A primary attending surgeon's involvement in concurrent or simultaneous surgeries on two different patients in two different rooms is not appropriate." Leven, Moon, and Payne note that some specialty societies like the American Academy of Orthopedic Surgeons likewise deem concurrent surgery as inappropriate, and opine that the practice of overlapping surgery presents professional, legal, and ethical concerns. Analysts were unable to identify large-scale studies of concurrent surgery. A study by Dy et al. addressed the safety of overlapping orthopedic surgeries at five academic institutions during 2015. Overlapping surgeries occurred in 40% of the cases and the frequencies of perioperative complications were larger in the non-overlapping surgery group than in the overlapping surgery group. They concluded that "overlapping inpatient orthopedic surgery does not introduce additional perioperative risk for the complications" they studied. The authors recommend that individual surgeons and facility leaders determine the suitability of this practice at their own institutions.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-ND license. (More information)
- Extent:
- 1 online resource (1 PDF file (3 pages)).
- NLM Unique ID:
- 101753801 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101753801