Medical Errors and Complications in Neurointervention: Underreported and Underestimated? A Systematic Review.
Salome Lou Bosshart, Johanna Maria Ospel, Alexander Stebner et al.
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In 30 seconds
This systematic review analyzed medical errors and complications (MEAC) in neurointervention, focusing on outpatient settings. From 174 studies involving 60,812 patients, the overall complication rate was 17.2%. The review highlights a significant underreporting of prehospital and postdischarge complications, with only 1.7% and 31.6% of studies addressing these phases, respectively.
Key findings
- The overall complication rate in neurointervention was 17.2%.
- 83.3% of studies reported on in-hospital procedural complications.
- Systematic follow-up increased the likelihood of identifying postdischarge complications (OR 2.16; 95% CI, 1.06-4.40).
- Only 1.7% of studies addressed prehospital complications.
Why it matters
Understanding the prevalence and types of medical errors and complications in neurointervention is crucial for enhancing patient safety and reducing healthcare costs. Improved reporting practices can lead to better patient outcomes and more effective care strategies.
What to keep in mind
Complication assessment and reporting lack standardization, leading to potential heterogeneity and publication bias. The search strategy may have missed relevant studies that did not explicitly mention complications.