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Benchmarking posterior capsule rupture rate in glaucoma patients before and after patient‐surgeon risk match
Author(s) -
Susanna Fernanda,
Puertas Renata
Publication year - 2019
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2019.5055
Subject(s) - medicine , phacoemulsification , benchmarking , glaucoma , boosting (machine learning) , ophthalmology , surgery , visual acuity , artificial intelligence , marketing , computer science , business
Purpose To investigate posterior capsule rupture (PCR) rate in glaucoma patients before and after the implementation of patient risk and surgeon match system. Methods The study included patients from the Glaucoma service between 2010 and 2017 that had phacoemulsification. Rates of PCR are analysed annually for internal reporting use and were compared before and after implementation of patient risk and surgeon match system. Results The rate of PCR was 1.75% in 2010–2011, 1.04% in 2012–2013, 1.30% in 2014, 0.91% in 2015, 1.01% in 2016 and 1.03% in 2017. The mean rate before matching system was 1.36%; after intervention the PCR rate dropped to 0.98%, showing a reduction of 27.9% in the unadjusted PCR rate. Conclusion The PCR rate was within national standards by the Royal College of Ophthalmologists (1.95%) at all time. It also concurred with the 30% reduction in National Ophthalmic Database between first reporting in 2010 and subsequent one in 2016–2017. This shows how a robust reporting system with feedback can aid to patient safety, boosting performance with benchmarking.