Intraoperative adverse events among surgeons in Singapore: a multicentre cross-sectional study on impact and support.

Autor: Yaow CYL; NUS Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore., Ng QX; Health Services Research Unit, Singapore General Hospital, Singapore, Singapore. ng.qin.xiang@u.nus.edu.; Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore. ng.qin.xiang@u.nus.edu., Chong RIH; NUS Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore., Ong C; Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore., Chong NZ; NUS Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore., Yap NLX; NUS Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore., Hong ASY; NUS Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore., Tan BKT; Department of General Surgery, Sengkang General Hospital, Singapore, Singapore., Loh AHP; Department of Paediatric Surgery, KK Women's and Children's Hospital, Singapore, Singapore., Wong ASY; Department of Surgery, Changi General Hospital, Singapore, Singapore., Tan HK; Division of Surgery and Surgical Oncology, Singapore General Hospital and National Cancer Centre Singapore, Singapore, Singapore.; Singhealth Duke-NUS Global Health Institute, Singapore, Singapore.; Duke Global Health Institute, Duke University, Durham, North Carolina, United States.
Jazyk: angličtina
Zdroj: BMC health services research [BMC Health Serv Res] 2024 Apr 24; Vol. 24 (1), pp. 512. Date of Electronic Publication: 2024 Apr 24.
DOI: 10.1186/s12913-024-10998-x
Abstrakt: Background: It is known that many surgeons encounter intraoperative adverse events which can result in Second Victim Syndrome (SVS), with significant detriment to their emotional and physical health. There is, however, a paucity of Asian studies in this space. The present study thus aimed to explore the degree to which the experience of an adverse event is common among surgeons in Singapore, as well as its impact, and factors affecting their responses and perceived support systems.
Methods: A self-administered survey was sent to surgeons at four large tertiary hospitals. The 42-item questionnaire used a systematic closed and open approach, to assess: Personal experience with intraoperative adverse events, emotional, psychological and physical impact of these events and perceived support systems.
Results: The response rate was 57.5% (n = 196). Most respondents were male (54.8%), between 35 and 44 years old, and holding the senior consultant position. In the past 12 months alone, 68.9% recalled an adverse event. The emotional impact was significant, including sadness (63.1%), guilt (53.1%) and anxiety (45.4%). Speaking to colleagues was the most helpful support source (66.7%) and almost all surgeons did not receive counselling (93.3%), with the majority deeming it unnecessary (72.2%). Notably, 68.1% of the surgeons had positive takeaways, gaining new insight and improving vigilance towards errors. Both gender and surgeon experience did not affect the likelihood of errors and emotional impact, but more experienced surgeons were less likely to have positive takeaways (p = 0.035). Individuals may become advocates for patient safety, while simultaneously championing the cause of psychological support for others.
Conclusions: Intraoperative adverse events are prevalent and its emotional impact is significant, regardless of the surgeon's experience or gender. While colleagues and peer discussions are a pillar of support, healthcare institutions should do more to address the impact and ensuing consequences.
(© 2024. The Author(s).)
Databáze: MEDLINE
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