Analysis of Surgical Mortalities Using the Fishbone Model for Quality Improvement

University of Witwatersrand

Status: Completed

Conditions: Complication of Surgical and Medical Care, Unspecified

Treatments: Other: observation

Study type: Observational

Funder types: Other

Identifiers

NCT05015959

M190122

Details and patient eligibility

About

Retrospective data analysis of mortalities and the evaluation of the quality of care offered, using the Fishbone method.

Full description

Evaluation of mortalities seen between 01 January 2017 and 31 December 2018. Analysis of the mortality decision into preventable, non-preventable and potentially preventable categories. Identifying the associated risk factors and co-morbidities in a single centre study in Johannesburg. Further analysing was performed on the subset of preventable mortalities and further do the fishbone model of quality of care. RedCap data was utilized for all data points. A further comparison was done to the MNM classification based on the team and an independent senior surgeon.

Enrollment: 859 patients

Sex

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria: All mortality of patients seen in the Department who were 18yrs or older

Exclusion Criteria:

• incomplete data death in the Emergency department

Trial design

859 participants in 1 patient group

mortality outcomes

Description:

mortality classification into preventable, potentially preventable and non-prevenatable

Treatment:

Other: observation