Abstract

RICARDO SUAREZ, Fidel Saúl; CRUZ ALMAGUER, Aymara Yusimy  and  PENA PUPO, Nerza Enid. Patient safety incidents related to cataract surgery. Rev Cubana Oftalmol [online]. 2022, vol.35, n.2  Epub June 01, 2022. ISSN 1561-3070.

Cataract surgery is one of the most cost-effective procedures practiced in the world. However, it is not risk-free because it involves a team with functions of varying degrees of complexity whose practice may harm the patient. A systematic check on patient safety incidents in cataract surgery was carried out through an advanced search in biomedical databases (PubMed, ScienceDirect, Google Scholar, HONcode, Cochrane and SciELO). Articles with primary data on this type of incident or medical errors related to this surgical procedure were included. Two reviewers independently assessed the quality of the studies and extracted the data. The number of investigations on patient safety incidents in cataract surgery was scarce, especially in developing countries. There was variability in the use and classification of patient safety terms. Direct observation was the only method that allowed detection of near misses. Non-harmful incidents were not reported. Intraoperative adverse events, especially systemic anesthetic and intraocular lens implantation errors, were the most common. The degree of harm was poorly assessed. The results of adverse events were incompletely shown and did not allow us to know their full impact on patients and institutions.

Keywords : cataract extraction; patient safety; medical errors.

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