The risk of fatal bleeding complications in jugular catheterization in patients with coagulopathy: A retrospective analysis of death cases in closed claims and the Medical Accident Investigating System in Japan.
<h4>Background</h4>To prevent recurrence of medical accidents, the Medical Accident Investigating System was implemented in October 2015 by the Japan Medical Safety Research Organization (Medsafe Japan) to target deaths from medical care that were unforeseen by the administrator. Medsafe...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2022-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0261636 |
| _version_ | 1818284292213571584 |
|---|---|
| author | Yasuhiro Otaki Naofumi Fujishiro Yasuaki Oyama Naoko Hata Daisuke Kato Shoji Kawachi |
| author_facet | Yasuhiro Otaki Naofumi Fujishiro Yasuaki Oyama Naoko Hata Daisuke Kato Shoji Kawachi |
| author_sort | Yasuhiro Otaki |
| collection | DOAJ |
| description | <h4>Background</h4>To prevent recurrence of medical accidents, the Medical Accident Investigating System was implemented in October 2015 by the Japan Medical Safety Research Organization (Medsafe Japan) to target deaths from medical care that were unforeseen by the administrator. Medsafe Japan analyzed the 10 cases of central venous catheterization-related deaths reported in the system and published recommendations in March 2017. However, the particular emphasis for the prevention of central venous catheterization-related deaths is unclear.<h4>Methods</h4>This study aimed to identify the recommendation points that should be emphasized to prevent recurrence of central venous catheterization-related deaths. We assessed central venous catheterization in 8530 closed-claim cases between January 2002 and December 2016 covered by the medical insurer Sompo-Japan. Moreover, we compared central venous catheterization-related death in closed-claim cases with death in reported cases.<h4>Results</h4>The background, error type, anatomic insertion site, and fatal complication data were evaluated for 37 closed-claim cases, of which 12 (32.4%) were death cases. Of the 12 closed-claim cases and 10 reported cases, 9 (75.0%) closed-claim cases and 9 (90.0%) reported cases were related to vascular access. Among these, 5 closed-claim cases (41.7%) and 7 reported cases (77.8%) were related to internal jugular vein catheterization (p = 0.28). Coagulopathy was observed in 3 (60.0%) of 5 closed-claim cases and 6 (85.7%) of 7 reported cases.<h4>Conclusions</h4>The risk of internal jugular catheterization in patients with coagulopathy must be carefully considered. |
| first_indexed | 2024-12-13T00:50:29Z |
| format | Article |
| id | doaj.art-7516760b563a4db48ebb9f3536135b98 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-13T00:50:29Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-7516760b563a4db48ebb9f3536135b982022-12-22T00:04:56ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01171e026163610.1371/journal.pone.0261636The risk of fatal bleeding complications in jugular catheterization in patients with coagulopathy: A retrospective analysis of death cases in closed claims and the Medical Accident Investigating System in Japan.Yasuhiro OtakiNaofumi FujishiroYasuaki OyamaNaoko HataDaisuke KatoShoji Kawachi<h4>Background</h4>To prevent recurrence of medical accidents, the Medical Accident Investigating System was implemented in October 2015 by the Japan Medical Safety Research Organization (Medsafe Japan) to target deaths from medical care that were unforeseen by the administrator. Medsafe Japan analyzed the 10 cases of central venous catheterization-related deaths reported in the system and published recommendations in March 2017. However, the particular emphasis for the prevention of central venous catheterization-related deaths is unclear.<h4>Methods</h4>This study aimed to identify the recommendation points that should be emphasized to prevent recurrence of central venous catheterization-related deaths. We assessed central venous catheterization in 8530 closed-claim cases between January 2002 and December 2016 covered by the medical insurer Sompo-Japan. Moreover, we compared central venous catheterization-related death in closed-claim cases with death in reported cases.<h4>Results</h4>The background, error type, anatomic insertion site, and fatal complication data were evaluated for 37 closed-claim cases, of which 12 (32.4%) were death cases. Of the 12 closed-claim cases and 10 reported cases, 9 (75.0%) closed-claim cases and 9 (90.0%) reported cases were related to vascular access. Among these, 5 closed-claim cases (41.7%) and 7 reported cases (77.8%) were related to internal jugular vein catheterization (p = 0.28). Coagulopathy was observed in 3 (60.0%) of 5 closed-claim cases and 6 (85.7%) of 7 reported cases.<h4>Conclusions</h4>The risk of internal jugular catheterization in patients with coagulopathy must be carefully considered.https://doi.org/10.1371/journal.pone.0261636 |
| spellingShingle | Yasuhiro Otaki Naofumi Fujishiro Yasuaki Oyama Naoko Hata Daisuke Kato Shoji Kawachi The risk of fatal bleeding complications in jugular catheterization in patients with coagulopathy: A retrospective analysis of death cases in closed claims and the Medical Accident Investigating System in Japan. PLoS ONE |
| title | The risk of fatal bleeding complications in jugular catheterization in patients with coagulopathy: A retrospective analysis of death cases in closed claims and the Medical Accident Investigating System in Japan. |
| title_full | The risk of fatal bleeding complications in jugular catheterization in patients with coagulopathy: A retrospective analysis of death cases in closed claims and the Medical Accident Investigating System in Japan. |
| title_fullStr | The risk of fatal bleeding complications in jugular catheterization in patients with coagulopathy: A retrospective analysis of death cases in closed claims and the Medical Accident Investigating System in Japan. |
| title_full_unstemmed | The risk of fatal bleeding complications in jugular catheterization in patients with coagulopathy: A retrospective analysis of death cases in closed claims and the Medical Accident Investigating System in Japan. |
| title_short | The risk of fatal bleeding complications in jugular catheterization in patients with coagulopathy: A retrospective analysis of death cases in closed claims and the Medical Accident Investigating System in Japan. |
| title_sort | risk of fatal bleeding complications in jugular catheterization in patients with coagulopathy a retrospective analysis of death cases in closed claims and the medical accident investigating system in japan |
| url | https://doi.org/10.1371/journal.pone.0261636 |
| work_keys_str_mv | AT yasuhirootaki theriskoffatalbleedingcomplicationsinjugularcatheterizationinpatientswithcoagulopathyaretrospectiveanalysisofdeathcasesinclosedclaimsandthemedicalaccidentinvestigatingsysteminjapan AT naofumifujishiro theriskoffatalbleedingcomplicationsinjugularcatheterizationinpatientswithcoagulopathyaretrospectiveanalysisofdeathcasesinclosedclaimsandthemedicalaccidentinvestigatingsysteminjapan AT yasuakioyama theriskoffatalbleedingcomplicationsinjugularcatheterizationinpatientswithcoagulopathyaretrospectiveanalysisofdeathcasesinclosedclaimsandthemedicalaccidentinvestigatingsysteminjapan AT naokohata theriskoffatalbleedingcomplicationsinjugularcatheterizationinpatientswithcoagulopathyaretrospectiveanalysisofdeathcasesinclosedclaimsandthemedicalaccidentinvestigatingsysteminjapan AT daisukekato theriskoffatalbleedingcomplicationsinjugularcatheterizationinpatientswithcoagulopathyaretrospectiveanalysisofdeathcasesinclosedclaimsandthemedicalaccidentinvestigatingsysteminjapan AT shojikawachi theriskoffatalbleedingcomplicationsinjugularcatheterizationinpatientswithcoagulopathyaretrospectiveanalysisofdeathcasesinclosedclaimsandthemedicalaccidentinvestigatingsysteminjapan AT yasuhirootaki riskoffatalbleedingcomplicationsinjugularcatheterizationinpatientswithcoagulopathyaretrospectiveanalysisofdeathcasesinclosedclaimsandthemedicalaccidentinvestigatingsysteminjapan AT naofumifujishiro riskoffatalbleedingcomplicationsinjugularcatheterizationinpatientswithcoagulopathyaretrospectiveanalysisofdeathcasesinclosedclaimsandthemedicalaccidentinvestigatingsysteminjapan AT yasuakioyama riskoffatalbleedingcomplicationsinjugularcatheterizationinpatientswithcoagulopathyaretrospectiveanalysisofdeathcasesinclosedclaimsandthemedicalaccidentinvestigatingsysteminjapan AT naokohata riskoffatalbleedingcomplicationsinjugularcatheterizationinpatientswithcoagulopathyaretrospectiveanalysisofdeathcasesinclosedclaimsandthemedicalaccidentinvestigatingsysteminjapan AT daisukekato riskoffatalbleedingcomplicationsinjugularcatheterizationinpatientswithcoagulopathyaretrospectiveanalysisofdeathcasesinclosedclaimsandthemedicalaccidentinvestigatingsysteminjapan AT shojikawachi riskoffatalbleedingcomplicationsinjugularcatheterizationinpatientswithcoagulopathyaretrospectiveanalysisofdeathcasesinclosedclaimsandthemedicalaccidentinvestigatingsysteminjapan |