Mapping complications in thyroid surgery: statistical data are useful for medico-legal management of a recurrent safety issue

Abstract

Quality of care assessment is a crucial tool for patient safety implementation. Litigation relating to thyroid surgery is one of the most represented sectors also due to the continuous increase in the number of thyroid interventions. Given the incidence of the problem, the present study aims to outline an operational methodology for risk mapping and litigation management in thyroid surgery. The study was conducted through the analysis of data collected at Umberto I General Hospital in Rome from 2007 to 2018. All thyroid surgery claims were included and, subsequently, a descriptive statistical analysis of the categorical variables was performed with the representation of frequencies in absolute terms and as a percentage. The results obtained show that in 94% of cases (44 cases) the reported event consists of incorrect treatment. The most frequent adverse events were identified in unilateral or bilateral recurrent nerve lesions (31; 70%); incomplete removal of the thyroid gland (6; 14%), post-surgical hypoparathyroidism (4; 9%), aesthetic damage secondary to surgical scars (2; 5%), dental avulsion during intubation maneuvers (1; 2%). The experience derived from the risk mapping through management of thyroid claims proved it to be a reactive tool of considerable importance in clinical governance. The promotion of measures aimed at improving the satisfaction of some critical parameters identified in the litigation management activity such as adherence to the indications for surgery, the preoperative diagnostic path, and the adequacy of the surgical report allows to further implement the quality of care in the surgical treatment of thyroid pathology. Graphical Abstract

Implementasi Desa Cinta Statistik (Desa Cantik) di Kabupaten Situbondo

“…Sesuai dengan yang di jelaskan oleh Nazhifah (Nazhifah, 2022) dimana penggunaan website sebagai media informasi sangat penting untuk menciptakan pemertintahan yang transparan, mandiri, dan akuntabel dengan adanya web profil sebagai tanggung jawab pemerintah desa. Dalam pelaksanaan desa cinta statistik yang dilakukan kepada tiga desa dimana desa bantal dan desa kesambirampak sudah mempunyai web sebagai sistem informasi yang dipunya desa (Padovano, 2022;Stark, 2022). sebaliknya untuk pembuatan web desa tokelan masih dalam proses pembuatan.…”

The impact of V-flow on preoperative diagnosis of thyroid tumors: individually and as part of multimodal sonographic imaging

“…Unfortunately, as the number of diagnosed thyroid tumors rises, there is a corresponding increase in the number of thyroid surgeries, resulting in a higher incidence of complications. These complications include recurrent laryngeal nerve damage resulting in dysphonia, post-surgical hypoparathyroidism as well as aesthetic damage due to surgical scars [2]. To reduce these undesired side effects, it is crucial to improve the noninvasive diagnostic workup of thyroid nodules, thereby allowing precise identification of malignant thyroid lesions and ensuring surgical removal is limited exclusively to necessary cases.…”