Leslie M. Peard1, Seth Teplitsky1, Arati Annabathula2, William Gunnar3, Peter Mills4, Andrew Harris1,2
Canadian Journal of Urology, Vol.30, No.2, pp. 11467-11472, 2023
Abstract Introduction: Adverse events in urologic procedures are poorly studied. This study analyzes the Veterans Health Administration (VHA) Root Cause Analysis (RCA) data for patient safety adverse events during urologic procedures performed in a VHA operating room (OR).
Materials and methods: The VHA National Center for Patient Safety RCA database was queried for fiscal years 2015-2019 using urologic terms including vasectomy, prostatectomy, nephrectomy, cystectomy, cystoscopy, lithotripsy, ureteroscopy, urethral, TURBT, etc. RCAs for events outside a VHA OR were excluded. Cases were categorized based on type of event.
Results: Sixty-eight RCAs were identified for 319,713 urologic procedures. The most common… More >
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