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Performance variability in perioperative sentinel events: report on a nationwide data set
Author(s) -
Iris Reijmerink,
Kelly Bos,
Ian Leistikow,
Jop Groeneweg,
Fokie Cnossen,
Dave A. Dongelmans,
Maarten J. van der Laan
Publication year - 2022
Publication title -
british journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.202
H-Index - 201
eISSN - 1365-2168
pISSN - 0007-1323
DOI - 10.1093/bjs/znac067
Subject(s) - medicine , perioperative , event (particle physics) , health care , surgery , physics , quantum mechanics , economics , economic growth
This study aimed to evaluate how performance variability contributes to perioperative sentinel events occurring within the Dutch healthcare system. Although performance variability was identified as a contributing factor in almost all analysis reports, it remains unrecognized by the sentinel event analysis team. Strengthening the integration of performance variability in sentinel event analyses could improve the analyses performed, and lead to more effective improvement measures specifically aimed at optimizing human performance within the healthcare system.

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