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Classification of intraoperative adverse events in visceral surgery

  • María Barrios
    Affiliations
    Subdirección de Estudios Clínicos y Epidemiología Clínica, Fundación Santa Fe de Bogotá, Bogotá, Colombia
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  • Daniela Florez
    Affiliations
    Subdirección de Estudios Clínicos y Epidemiología Clínica, Fundación Santa Fe de Bogotá, Bogotá, Colombia
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  • Jose De la Hoz-Valle
    Correspondence
    Corresponding author: Jose De la Hoz-Valle, Subdirección de Estudios Clínicos y Epidemiología Clínica, Fundación Santa Fe de Bogotá, Carrera 7B no. 123-90, Bogotá, Colombia.
    Affiliations
    Subdirección de Estudios Clínicos y Epidemiología Clínica, Fundación Santa Fe de Bogotá, Bogotá, Colombia
    Facultad de Medicina, Universidad de Los Andes, Bogotá, Colombia
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      Surgical procedures have increased worldwide from 234.2 million in 2004 to 312.9 million in 2012, an increase of 33.6%.
      • Weiser T.G.
      • Haynes A.B.
      • Molina G.
      • et al.
      Estimate of the global volume of surgery in 2012: an assessment supporting improved health outcomes.
      Consequently, with an increase of surgeries, the frequency of intraoperative adverse events has also increased, with a negative impact on the patient’s postoperative evolution,
      • Dell-Kuster S.
      • Gomes N.V.
      • Gawria L.
      • et al.
      Prospective validation of classification of intraoperative adverse events (ClassIntra): international, multicentre cohort study.
      evidencing the lack of a validated instrument for the standardized and transparent reporting of intraoperative adverse events.
      • Dell-Kuster S.
      • Gomes N.V.
      • Gawria L.
      • et al.
      Prospective validation of classification of intraoperative adverse events (ClassIntra): international, multicentre cohort study.
      The Classification of Intraoperative Adverse Events (ClassIntra)
      • Dell-Kuster S.
      • Gomes N.V.
      • Gawria L.
      • et al.
      Prospective validation of classification of intraoperative adverse events (ClassIntra): international, multicentre cohort study.
      was implemented to standardize any incident that deviated from the ideal intraoperative course related to surgery and anesthesia, and to increase the adherence to reporting intraoperative adverse events by surgeons and anesthesiologists, thereby improving information quality.
      • Gawria L.
      • Rosenthal R.
      • van Goor H.
      • et al.
      Classification of intraoperative adverse events in visceral surgery.
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      References

        • Weiser T.G.
        • Haynes A.B.
        • Molina G.
        • et al.
        Estimate of the global volume of surgery in 2012: an assessment supporting improved health outcomes.
        Lancet. 2015; 385: S11
        • Dell-Kuster S.
        • Gomes N.V.
        • Gawria L.
        • et al.
        Prospective validation of classification of intraoperative adverse events (ClassIntra): international, multicentre cohort study.
        BMJ. 2020; : 370
        • Gawria L.
        • Rosenthal R.
        • van Goor H.
        • et al.
        Classification of intraoperative adverse events in visceral surgery.
        Surgery. 2022; 171 (1579–1579)
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        • Hwabejire J.
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        Derivation and validation of a novel severity classification for intraoperative adverse events.
        J Am Coll Surg. 2014; 218: 1120-1128
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        Work system analysis: the key to understanding health care systems.
        in: Henriksen K. Battles J.B. Marks E.S. Advances in Patient Safety: From Research to Implementation (Volume 2: Concepts and Methodology). Agency for Healthcare Research and Quality, Rockville, (MD)2005 (Available at:)

      Linked Article

      • Response to Letter to Editor
        SurgeryVol. 172Issue 6
        • Preview
          We would like to thank Barrios, Florez, and De la Hoz-Valle for their interest and commentary to our publication “Classification of Intraoperative Adverse Events in Visceral Surgery” and the favorable evaluation of ClassIntra as a tool for standardized assessment of intraoperative adverse events.1,2
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