Analysis of Surgical Mortalities Using the Fishbone Model for Quality Improvement

Retrospective data analysis of mortalities and the evaluation of the quality of care offered, using the Fishbone method.

Study Overview

• Status: Completed
• Conditions: Complication of Surgical and Medical Care, Unspecified
• Intervention / Treatment: Other: observation

Detailed Description

Evaluation of mortalities seen between 01 January 2017 and 31 December 2018. Analysis of the mortality decision into preventable, non-preventable and potentially preventable categories. Identifying the associated risk factors and co-morbidities in a single centre study in Johannesburg. Further analysing was performed on the subset of preventable mortalities and further do the fishbone model of quality of care. RedCap data was utilized for all data points. A further comparison was done to the MNM classification based on the team and an independent senior surgeon.

• Study Type: Observational
• Enrollment (Actual): 859

Contacts and Locations

Study Locations

• South Africa
  • Gauteng
    • Johannesburg, Gauteng, South Africa, 2123
      • Charlotte Maxeke Johannesburg Academic Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

all adults 18 years or older that presented to our institution and died withing the study period.

Description

Inclusion Criteria: All mortality of patients seen in the Department who were 18yrs or older

-

Exclusion Criteria:

• incomplete data death in the Emergency department

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
mortality outcomes; mortality classification into preventable, potentially preventable and non-prevenatable	Other: observation; quality; Other Names: mortality outcomes

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
mortality outcomes	in-hospital mortality	study period (Jan 2017 to Dec 2018)

Collaborators and Investigators

• Sponsor: University of Witwatersrand, South Africa
• Investigators: Principal Investigator: Maeyane Moeng, MBBCH, FCS, University of Witwatersrand, South Africa

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2017
• Primary Completion (Actual): December 31, 2018
• Study Completion (Actual): December 31, 2018

Study Registration Dates

• First Submitted: August 3, 2021
• First Submitted That Met QC Criteria: August 14, 2021
• First Posted (Actual): August 23, 2021

Study Record Updates

• Last Update Posted (Actual): August 23, 2021
• Last Update Submitted That Met QC Criteria: August 14, 2021
• Last Verified: August 1, 2021

More Information

Terms related to this study

• Other Study ID Numbers: M190122

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No