Table 1

Distribution of hospital-reported adverse events (AEs)/near-misses (NMs) occurred in the operating rooms (ORs)  according to Joint Commission International standards in 2014 (JanDec) and in 2015 (JanMay)

Hospital incident reporting system2014 JanDec2015 JanMayRR95% CIP value
N°(%)N° (%)
No. of AEs/NMs occurred in all hospital units625645
No. AEs/NMs occurred in the OR85 (100.0)23 (100.0)1.71.3 to 2.2<0.0001
1. Anaesthesia and surgical care43 (50.6)23 (20.4)0.40.3 to 0.6<0.0001
2. Ensure correct site, correct procedure, correct patient surgery11 (12.9)7 (6.2)0.50.2 to 1.2n.s.
3. Staff qualification and education6 (7.1)28 (24.8)3.51.5 to 8.1<0.01
4. improve the effectiveness of the communication among health workers0 (0.0)21 (18.6)
5. Governance, leadership and direction2 (2.4)18 (15.9)6.81.6 to 28.4<0.01
6. Prevention and control of infection15 (17.6)8 (7.1)0.40.2 to 0.9<0.05
7. Patient and family rights8 (9.4)6 (5.3)0.60.2 to 1.6n.s.
8. Sentinel events0 (0.0)2 (1.8)
  • RR, relative risk; CI, Confidence Intervals; n.s., not significant.