A5073981484- Medical Malpractice and Liability Issues
- Vascular Procedures and Complications
- Patient Safety and Medication Errors
- Cardiac, Anesthesia and Surgical Outcomes
- Peripheral Artery Disease Management
- Diagnosis and Treatment of Venous Diseases
- Cerebrovascular and Carotid Artery Diseases
- Airway Management and Intubation Techniques
- Aortic aneurysm repair treatments
- Venous Thromboembolism Diagnosis and Management
- Intracranial Aneurysms: Treatment and Complications
- Central Venous Catheters and Hemodialysis
- Reconstructive Surgery and Microvascular Techniques
- Diabetic Foot Ulcer Assessment and Management
- Healthcare Quality and Management
- Head and Neck Surgical Oncology
- Infectious Aortic and Vascular Conditions
- Digital Imaging in Medicine
- Tracheal and airway disorders
- Intraoperative Neuromonitoring and Anesthetic Effects
- Aortic Disease and Treatment Approaches
- Surgical Sutures and Adhesives
- Retinal and Optic Conditions
- Hospital Admissions and Outcomes
- Vascular Malformations Diagnosis and Treatment
Turku University Hospital
2011-2025
University of Turku
2017-2025
Helsinki University Hospital
2010
Background W orld H ealth O rganisation ( WHO ) has introduced a surgical safety checklist that reduced post‐operative morbidity and mortality. Prior to national implementation, we assessed its possible impact on the operating room OR process, safety‐related issues communication among staff in high‐income country. Methods In four university teaching hospitals, structured questionnaire was delivered personnel involved consecutive operations over 4–6 weeks before after implementation. The...
The World Health Organisation has developed a Surgical Safety Checklist to improve patient safety during surgery. This checklist reduced postoperative morbidity and mortality. Prior implementation, we wanted evaluate how it would fit into the process of otorhinolaryngology-head neck surgery whether have an impact on awareness safety-related issues.A structured questionnaire was addressed operating room team after consecutive operations 1-month period before implementation.This study...
Inguinal incision is the most common vascular surgery and associated with a high rate of surgical site infections (SSIs). The objective this study was to determine whether intradermal suture leads lower SSI compared metal staples. A multicentre, open label, superiority randomised controlled trial conducted from March 2018 until November 2021 in three Finnish hospitals (ClinicalTrials.gov ID: NCT03468621). Patients scheduled elective isolated exposure femoral vessels longitudinal incision,...
Objectives Increasing knowledge of factors contributing to medical adverse events has influenced the development preventive policies and protocols, WHO Surgical Safety Checklist being most widely known. Despite growing evidence checklist's effectiveness in surgery, its role preventing otolaryngology is unclear. We assessed patient injury‐contributing their relationship with checklist items. Study design A retrospective claim record study national insurance charts Finland. Setting...
Conclusion: The WHO surgical checklist is well suited to otorhinolaryngology-head and neck surgery (ORL-HNS) the users are satisfied with its content. Objectives: Use of will improve safety in operating rooms (ORs). has been taken into use ORL-HNS, preliminary experiences promising. However, must be specific specialty which it used. aim this study was evaluate utility check items for ORL-HNS operations, special reference outpatient surgery. Methods: questionnaire OR personnel conducted at a...
To assess factors contributing to patient injuries in operative rhinology. Data of the accepted injury claims involving rhinology, between years 2001 and 2011, were obtained from Finnish Patient Insurance Centre registry. Two senior otolaryngologists analysed evaluated mechanisms. Analysis classification injuries. During ten-year study period, there 67 comprising 36% all otorhinolaryngologic surgery. The majority (78%) patients treated university or central hospitals almost (90%) by fully...
Objective: To report on the recommendations of an expert-based consensus indications, timing, and techniques aortic balloon occlusion (ABO) in management ruptured abdominal aneurysms (rAAA). Methods: Eleven facilitators created appropriate statements regarding study issues that were voted using a 4-point Likert scale with open-comment fields, by selected panel international experts (vascular surgeons interventional radiologists) 3-round modified Delphi procedure (study period: January-April...
The groin surgical site is frequently infected in vascular procedures. Our aim was to evaluate the relation of skin closure methods and incision infection after operations involving femoral artery exposure.In this retrospective patient record study, files all consecutive patients admitted for a procedure Turku University Hospital Department Vascular Surgery during 2015-2016 were evaluated. Patients with an isolated because exposure (256) included study. Patient demographics, details...
The anterolateral thigh (ALT) free flap is widely used for various reconstructions in the head and neck. However, its use oropharynx has not been evaluated, so we have reviewed our experience. We retrospectively medical records of 28 patients with oropharyngeal cancer, who were treated immediate reconstruction an ALT after excision. recorded history, stage tumour, course operation, postoperative period, oncological treatment, clinical outcome, follow-up. mean age was 61 years (range 44–83)....
Extradural internal carotid artery aneurysms are rare and the indications for treatment not well defined. We report successful management of two high extradural treated with flow diverter stents. The endovascular repair is effective because surgical there always possibility cranial nerve injury.
The aim of the present study was to describe and analyze changes in incidences lower extremity amputations (LEAs), patient characteristics, vascular history amputees survival Southwest Finland.This is a retrospective Hospital District Finland. All consecutive patients with atherosclerosis diabetes-caused LEA, between 1st January 2007 31st December 2017, were included. annual major LEA statistically standardized. Patients' diagnoses, functional status, previous revascularizations minor...
To assess patient injury characteristics and contributing factors in otology.Data on the accepted patient-injury claims involving otorhinolaryngology (ORL), closed between 2001 2011, from Finnish Patient Insurance Centre registry was retrieved. We included all injuries concerning otology, with evaluation classification of their causes types.During 10-year study period, a total 44 were as compensated otology. From 233 ORL, this amounted to 19%. In outpatient care, occurred 12 (27%) surgical...
Objectives This study aimed to identify the unintended incidents that led patient injuries (PIs) in treatment of superficial venous insufficiency (SVI). Methods PI claims filed with Finnish Patient Insurance Centre between 2004 and 2017 involving SVI were reviewed. Factors contributing identified classified. Results Eighteen (13.2%) 136 compensated PIs specialty vascular surgery related SVI. Only 4.7% 383 compensated. The incidence was 9.9 per 100 000 patients. Fifteen patients had open...
Coronary subclavian steal syndrome (CSSS) is an often easily overlooked cause of angina that may occur after a coronary artery bypass graft (CABG) procedure. The onset CSSS several years revascularization has been described in case reports, and the few retrospective reviews compare endovascular approach with surgical treatment. Subclavian stenosis can naturally coincide disease already be present during initial CABG.A 59-year-old male history three-vessel who had left internal mammary (LIMA)...
Analysis of patient injuries offers possibilities for improving quality in care. The aim this study was to identify errors and adverse events leading the treatment internal carotid artery stenosis (ICAS).A retrospective analysis performed on data from Finnish injury claims insurance center decisions ICAS, 2004-2017. Contributing factors were identified evaluated.During 14-year period, 42 involving ICAS closed Finland. One claim involved stenting, other operations endarterectomies. Nine...