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Open access Oct 2026

Impact of SAFEST intervention on first perioperative adverse events at two Portuguese hospitals

Abstract Background In European hospitals, 8-12% of admitted patients experience adverse events (AE), with surgical AE being the most prevalent, contributing to disease burden and healthcare costs. Over half of potentially preventable surgical AE occur in the ward, driven by failures in clinical monitoring. Quality Imp...

D. R. Carvalho, A. Nunes, P. Casaca et al. · 0 citations
Review Open access Oct 2026

Assessing Perioperative Patient Safety Practices: A Comparative Study of Portuguese Hospitals

Abstract Backround Patient safety is a cornerstone of high-quality perioperative care, yet adherence to best practices remains inconsistent across settings. Systematic assessments are essential to identify gaps, support benchmarking, and inform targeted improvement strategies. This study aimed to assess adherence to ev...

A. Nunes, F. Simões, P. Casaca et al. · 0 citations
Open access Oct 2026

Perioperative Safety in Europe: Multi-Country Monitoring using Statistical Process Control

Abstract Background Unsafe surgical care imposes a substantial burden on European healthcare systems, highlighting the need for effective patient safety improvement strategies. While Quality Improvement Collaboratives (QIC) are widely used to promote safer practices, robust monitoring is essential to ensure system perf...

A. Nunes, P. Casaca, A. Leite et al. · 0 citations
Review Open access Oct 2026

Impact of a Quality Improvement Collaborative on Perioperative Patient Safety: an ITS Analysis

This European multicountry perioperative QIC led to moderate immediate improvements in PPSP adherence and a reduction in complications, however, the lack of sustained effects and variability across components highlights the influence of contextual factors, implementation fidelity, and pathway complexity.

A. Nunes, P. Casaca, A. Leite et al. · 0 citations

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