Abstract：
BACKGROUND: Adverse events from surgical interventions are common. They can occur at various stages of surgical care, and they carry a heavy burden on the different parties involved. While extensive research and efforts have been made to better understand the etiologies of postoperative complications, more research on intraoperative adverse events (iAEs) remains to be done.
METHODS: In this article, we reviewed the literature looking at iAEs to discuss their risk factors, their implications on surgical care, and the current efforts to mitigate and manage them.
RESULTS: Risk factors for iAEs are diverse and are dictated by patient-related risk factors, the nature and complexity of the procedures, the surgeon\'s experience, and the work environment of the operating room. The implications of iAEs vary according to their severity and include increased rates of 30-day postoperative morbidity and mortality, increased length of hospital stay and readmission, increased care cost, and a second victim emotional toll on the operating surgeon.
CONCLUSIONS: While transparent reporting of iAEs remains a challenge, many efforts are using new measures not only to report iAEs but also to provide better surveillance, prevention, and mitigation strategies to reduce their overall adverse impact.
METHODS: In this article, we reviewed the literature looking at iAEs to discuss their risk factors, their implications on surgical care, and the current efforts to mitigate and manage them.
RESULTS: Risk factors for iAEs are diverse and are dictated by patient-related risk factors, the nature and complexity of the procedures, the surgeon\'s experience, and the work environment of the operating room. The implications of iAEs vary according to their severity and include increased rates of 30-day postoperative morbidity and mortality, increased length of hospital stay and readmission, increased care cost, and a second victim emotional toll on the operating surgeon.
CONCLUSIONS: While transparent reporting of iAEs remains a challenge, many efforts are using new measures not only to report iAEs but also to provide better surveillance, prevention, and mitigation strategies to reduce their overall adverse impact.
摘要：
背景：手术干预的不良事件很常见。它们可以发生在手术护理的各个阶段，他们给相关各方带来了沉重的负担。虽然已经进行了广泛的研究和努力来更好地了解术后并发症的病因，关于术中不良事件(iAE)的更多研究尚待完成.
方法：在本文中，我们回顾了研究不良事件的文献，讨论了它们的风险因素，它们对外科护理的影响，以及目前缓解和管理它们的努力。
结果：iAE的危险因素是多种多样的，由患者相关的危险因素决定，程序的性质和复杂性，外科医生的经验，以及手术室的工作环境。iAE的含义因其严重程度而异，包括术后30天发病率和死亡率的增加。增加住院时间和再入院时间，增加护理成本，还有第二个受害者对手术外科医生的情感伤害。
结论：虽然iAE的透明报告仍然是一个挑战，许多努力正在使用新的措施，不仅报告iAE，而且提供更好的监测，预防,和缓解策略，以减少其总体不利影响。
方法：在本文中，我们回顾了研究不良事件的文献，讨论了它们的风险因素，它们对外科护理的影响，以及目前缓解和管理它们的努力。
结果：iAE的危险因素是多种多样的，由患者相关的危险因素决定，程序的性质和复杂性，外科医生的经验，以及手术室的工作环境。iAE的含义因其严重程度而异，包括术后30天发病率和死亡率的增加。增加住院时间和再入院时间，增加护理成本，还有第二个受害者对手术外科医生的情感伤害。
结论：虽然iAE的透明报告仍然是一个挑战，许多努力正在使用新的措施，不仅报告iAE，而且提供更好的监测，预防,和缓解策略，以减少其总体不利影响。
