{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:03:50Z","timestamp":1753877030198,"version":"3.41.2"},"reference-count":36,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2022,5,11]],"date-time":"2022-05-11T00:00:00Z","timestamp":1652227200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,8,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p\/>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>The reporting of patient safety incidents (PSIs) occurring in minimally invasive thoracic surgery (MITS) is crucial. However, previous reports focused mainly on catastrophic events whereas minor events are often underreported.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>All voluntary reports of MITS-related PSIs were retrospectively extracted from the French REX database for \u2018in-depth analysis\u2019. From 2008 to 2019, we retrospectively analysed and graded events according to the WHO classification of PSIs: near miss events, no harm incidents and harmful incidents. Causes and corrective measures were analysed according to the human-technology-organization triad.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Of the 5145 cardiothoracic surgery PSIs declared, 407 were related to MITS. Among them, MITS was performed for primary lung cancer in 317 (78%) and consisted in a lobectomy in 249 (61%) patients. PSIs were: near miss events in 42 (10%) patients, no harm incidents in 81 (20%) patients and harmful incidents in 284 (70%) patients (mild: n\u2009=\u2009163, 40%; moderate: n\u2009=\u200978, 19%; severe: n\u2009=\u200936, 9%; and deaths: n\u2009=\u20097, 2%). Human factors represented the most important cause of PSIs with 267\/407 (65.6%) cases, including mainly vascular injuries (n\u2009=\u200990; 22%) and non-vascular injuries (n\u2009=\u200943; 11%). Pulmonary arteries were the most affected site with 57\/91 cases (62%). In all, there were 7 deaths (2%), 53 patients required second surgery (13%) and 30 required additional lung resection (7%).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>The majority of reported MITS -related PSIs were non-catastrophic. Human factors were the main cause of PSIs. Systematic reporting and analysis of these PSIs will allow surgeon and his team to avoid a large proportion of them.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/icvts\/ivac129","type":"journal-article","created":{"date-parts":[[2022,5,5]],"date-time":"2022-05-05T11:14:39Z","timestamp":1651749279000},"source":"Crossref","is-referenced-by-count":5,"title":["Reporting of patient safety incidents in minimally invasive thoracic surgery: a national registered thoracic surgeons experience for improvement of patient safety"],"prefix":"10.1093","volume":"35","author":[{"given":"Benjamin","family":"Bottet","sequence":"first","affiliation":[{"name":"Department of General and Thoracic Surgery, Rouen University Hospital , Rouen, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1541-1713","authenticated-orcid":false,"given":"Caroline","family":"Rivera","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Bayonne Hospital , Bayonne, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8230-2023","authenticated-orcid":false,"given":"Marcel","family":"Dahan","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Larrey Hospital, CHU Toulouse , Toulouse, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5915-5512","authenticated-orcid":false,"given":"Pierre-Emmanuel","family":"Falcoz","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, CHRU Strasbourg , Strasbourg, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophie","family":"Jaillard","sequence":"additional","affiliation":[{"name":"Department of Thoracic surgery, Hopital Priv\u00e9 le Bois , Lille, 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