Performance variability in perioperative sentinel events: report on a nationwide data set.
retrospective_cohort · Level III
Where this comes from
- Record sourced from PubMed, PMID 35373247.
- Also identified by DOI 10.1093/bjs/znac067 and PMC identifier 10364676.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
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.