Analysis of Surgical Mortalities Using the Fishbone Model for Quality Improvement

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT05015959

Enrollment

859

Registered

2021-08-23

Start date

2017-01-01

Completion date

2018-12-31

Last updated

2021-08-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Complication of Surgical and Medical Care, Unspecified

Brief summary

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

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.

Interventions

OTHERobservation

quality

Study design

Observational model

COHORT

Time perspective

RETROSPECTIVE

Eligibility

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

All mortality of patients seen in the Department who were 18yrs or older \-

Exclusion criteria

* incomplete data death in the Emergency department

Design outcomes

Primary

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

Countries

South Africa

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026