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. 2012:12:82.
Epub 2012 Jul 24.

Challenges in disclosure of adverse events and errors in surgery; perspectives from sub-Saharan Africa

Abdulrasheed Ibrahim  1 , Ekundayo Stephen Garba, Malachy Eneye Asuku
Affiliations

Challenges in disclosure of adverse events and errors in surgery; perspectives from sub-Saharan Africa

Abdulrasheed Ibrahim et al. Pan Afr Med J. 2012.

Abstract

Surgery in sub-Saharan Africa is widely known to be done against a background of poverty and illiteracy, late presentation with complicated pathologies, and a desperate lack of infrastructure. In addition, patient autonomy and self determination are highly flavored by cultural practices and religious beliefs. Any of these factors can influence the pattern and disclosure of adverse events and errors. The impact of these in the relationships between surgeons and patients, and between health institutions and patients must be considered as it may affect disclosure and response to errors. This article identifies the peculiar socioeconomic and cultural challenges that may hinder disclosure and proposes strategies for instituting disclosure of errors and adverse events services in Sub-Saharan Africa.

Keywords: Challenges; adverse events; errors; sub-Saharan Africa; surgery.

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Figures

Figure 1
Figure 1
An algorithm for managing adverse events and errors
Figure 2
Figure 2
An algorithm illustrating an example for managing an adverse event (tourniquet paralysis) following prolonged application of a tourniquet
See this image and copyright information in PMC

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