Root cause analysis of internal hernia and Roux limb compression after laparoscopic Roux-en-Y gastric bypass using observational clinical human reliability assessment

Surgery for Obesity and Related Diseases - Tập 8 - Trang 158-163 - 2012
Ahmed R. Ahmed1, Danilo Miskovic1, Thormela Vijayaseelan2, William O'Malley3, George B. Hanna1
1Department of Surgery and Cancer, Imperial College London, London, United Kingdom
2St. George's Hospital, University of London, London, United Kingdom
3Department of Bariatric Surgery, University of Rochester Medical Center, Rochester, New York

Tài liệu tham khảo

Buchwald, 2004, Bariatric surgery: a systematic review and meta-analysis, JAMA, 292, 1724, 10.1001/jama.292.14.1724 Flum, 2009, Perioperative safety in the longitudinal assessment of bariatric surgery, N Engl J Med, 361, 445, 10.1056/NEJMoa0901836 Adams, 2007, Long-term mortality after gastric bypass surgery, N Engl J Med, 357, 753, 10.1056/NEJMoa066603 Nguyen, 2004, Bowel obstruction after laparoscopic Roux-en-Y gastric bypass, Obes Surg, 14, 190, 10.1381/096089204322857546 Husain, 2007, Small-bowel obstruction after laparoscopic Roux-en-Y gastric bypass: etiology, diagnosis, and management, Arch Surg, 142, 988, 10.1001/archsurg.142.10.988 Higa, 2003, Internal hernias after laparoscopic Roux-en-Y gastric bypass: incidence, treatment and prevention, Obes Surg, 13, 350, 10.1381/096089203765887642 Marema, 2005, Comparison of the benefits and complications between laparoscopic and open Roux-en-Y gastric bypass surgeries, Surg Endosc, 19, 525, 10.1007/s00464-004-8907-9 Joice, 1998, Errors enacted during endoscopic surgery—a human reliability analysis, Appl Ergon, 29, 409, 10.1016/S0003-6870(98)00016-7 Tang, 2004, Identification and categorization of technical errors by observational clinical human reliability assessment (OCHRA) during laparoscopic cholecystectomy, Arch Surg, 139, 1215, 10.1001/archsurg.139.11.1215 Tang, 2006, Competence assessment of laparoscopic operative and cognitive skills: objective structured clinical examination (OSCE) or observational clinical human reliability assessment (OCHRA), World J Surg, 30, 527, 10.1007/s00268-005-0157-z Cox, 2008, Human reliability analysis: a new method to quantify errors in cataract surgery, Eye, 22, 394, 10.1038/sj.eye.6702648 Gauba, 2008, Human reliability analysis of cataract surgery, Arch Ophthalmol, 126, 173, 10.1001/archophthalmol.2007.47 Talebpour, 2009, Proficiency-gain curve for an advanced laparoscopic procedure defined by observation clinical human reliability assessment (OCHRA), Surg Endosc, 23, 869, 10.1007/s00464-008-0088-5 Kirwan, 1992, Human error identification in human reliability assessment, Appl Ergon, 23, 299, 10.1016/0003-6870(92)90292-4 Kirwan, 1992, Human error identification in human reliability assessment, Appl Ergon, 23, 371, 10.1016/0003-6870(92)90368-6 Ahmed, 2009, Roux limb obstruction secondary to constriction at transverse mesocolon rent after laparoscopic Roux-en-Y gastric bypass, Surg Obes Relat Dis, 5, 194, 10.1016/j.soard.2008.02.004 Ahmed, 2007, Trends in internal hernia incidence after laparoscopic Roux-en-Y gastric bypass, Obes Surg, 17, 1563, 10.1007/s11695-007-9260-6 Capella, 2006, Bowel obstruction after open and laparoscopic gastric bypass surgery for morbid obesity, J Am Coll Surg, 203, 328, 10.1016/j.jamcollsurg.2006.05.301 Iannelli, 2006, Internal hernia after laparoscopic Roux-en-Y gastric bypass for morbid obesity, Obes Surg, 16, 1265, 10.1381/096089206778663689 Dimick, 2004, Hospital costs associated with surgical complications: a report from the private-sector National Surgical Quality Improvement Program, J Am Coll Surg, 199, 531, 10.1016/j.jamcollsurg.2004.05.276 Kardash, 1997, Videotape feedback in teaching laryngoscopy, Can J Anesth, 44, 54, 10.1007/BF03014325