Top 7 Surgical Preventable Adverse Events

The Top Texas Preventable Adverse Events (PAE)

Preventable Adverse Events, also known as PAEs, can happen in health care, but they are not supposed to happen.

An example would be surgery on the wrong body part, or a bad injury from a fall. Health care workers try hard to make sure PAEs don’t happen. The State of Texas decided that most hospitals and surgery centers must report PAEs to the Department of State Health Services.

• See: www.dshs.texas.gov/healthcare-safety-unit/preventable-adverse-events

The top Surgical or Invasive PAEs

1. Surgeries or invasive procedures involving a surgery on the wrong site, wrong patient, wrong procedure.
2. Foreign object retained after surgery.
3. Post-operative death of a Patient.
4. Surgical site infections following a spinal procedure, shoulder procedure, elbow procedure, laparoscopic gastric bypass, gastroenterostomy, laparoscopic gastric restrictive surgery or cardiac implantable electronic device.
5. Deep Vein Thrombosis (DVT) or Pulmonary Embolism (PE) after total knee replacement or after hip replacement.
6. Iatrogenic Pneumothorax with venous catheterization.
7. Patient death or severe harm associated with intravascular air embolism that occurs while being cared for in a health care facility.

How patient feels 🙁

Reference Texas-PAE-Categories-and-Tiers