Analysis of Surgical Mortalities Using the Fishbone Model for Quality Improvement

University of Witwatersrand, South Africa859 enrolled

Overview

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

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.

Study Type

OBSERVATIONAL

Enrollment

859

Conditions

Complication of Surgical and Medical Care, Unspecified

Interventions

observationOTHER

quality

Eligibility

Min age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: All mortality of patients seen in the Department who were 18yrs or older \- Exclusion Criteria: * incomplete data death in the Emergency department

Locations (1)

Charlotte Maxeke Johannesburg Academic Hospital

Johannesburg, Gauteng, South Africa

Outcomes

Primary Outcomes

mortality outcomes

in-hospital mortality

Time frame: study period (Jan 2017 to Dec 2018)

Data from ClinicalTrials.gov

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