Safety of patient care on an interprofessional training ward in visceral surgery

Interprofessional training wards (ITW) are increasingly being integrated into teaching and training concepts in visceral surgery clinics. How safe is patient care on an ITW in visceral surgery? Data collection took place from November 2021 to December 2022. In this nonrandomized prospective evaluati...

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Bibliographic Details
Published in:	Chirurgie (Heidelberg, Germany) Vol. 95; no. 4; p. 299
Main Authors:	Hellinger, A, Hörscher, D, Biber, F C, Haasenritter, J, Jost, K, Kreuzer, T, Müller, H-H, Wächtershäuser, E M, Weber, J, Weise, C, Opitz, E
Format:	Journal Article
Language:	German
Published:	Germany 01-04-2024
Subjects:	Digestive System Surgical Procedures - adverse effects Humans Length of Stay Patient Care Team Surveys and Questionnaires Tertiary Care Centers Patient safety Picker model Global trigger tool Risk management Visceral surgery
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Summary:	Interprofessional training wards (ITW) are increasingly being integrated into teaching and training concepts in visceral surgery clinics. How safe is patient care on an ITW in visceral surgery? Data collection took place from November 2021 to December 2022. In this nonrandomized prospective evaluation study the frequency and severity of adverse events (AE) in 3 groups of 100 patients each in a tertiary referral center hospital for visceral surgery were investigated. The groups consisted of patients on the ITW and on the conventional ward before and after implementation of the ITW. The Global Trigger Tool (GTT) was used to search for AE. Simultaneously, a survey of the treatment was conducted according to the Picker method to measure patient reported outcome. Baseline characteristics and clinical outcome parameters of the patients in the three groups were comparable. The GTT analysis found 74 nonpreventable and 5 preventable AE in 63 (21%) of the patients and 12 AE occurred before the hospital stay. During the hospital stay 50 AE occurred in the operating theater and 17 on the conventional ward. None of the five preventable AE (in 1.7% of the patients) was caused by the treatment on the ITW. Patients rated the safety on the ITW better than in 90% of the hospitals included in the Picker benchmark cohort and as good as on the normal ward. The GTT-based data as well as from the patients' point of view show that patient care on a carefully implemented ITW in visceral surgery is safe.
ISSN:	2731-698X
DOI:	10.1007/s00104-024-02034-9