Iatrogenic injury

Francis G.G., Unexplained Patient Bums Investigating Iatrogenic Injuries, Quest Publishing, Brea, CA, 1988. 

Altered collateral circulation previous embolization, trauma/iatrogenic injury, atherosclerosis, shock, and pharmacological alteration (vasopressor therapy)... 

Thomas, B.J., Studdert, D.M., Rundman, W.B. etal. (2000a) A comparison of iatrogenic injury studies in Australia and the USA 1 context, methods, casemix, population, patient and hospital characteristics. International Journal for Quality in Health Care, 12 (5), 371-378. 

Runciman, W. B., and others. A Comparbon of Iatrogenic Injury Studies in Australia and the USA. II Reviewer Behavior and Quality of Care. International Journal of Quality in Health Care, 2000, 7P(5), 379-388. 

Adverse events are untoward incidents, therapeutic misadventures, iatrogenic injuries, or other adverse occurrences directly associated with care or services provided. Adverse events may result from acts of commission or omission. Adverse events can include patient falls, medication errors, procedural errors or complications, suicides, and missing patients. An adverse event can also be categorized as either a sentinel event or near miss. 

Again given that iatrogenic injuries can occur anywhere in the body, a complete discussion of specific techniques and equipment for all areas is not possible, but there are some general principles (Table 7.1). 

Outside of the liver and kidneys, there are innumerable other types of iatrogenic arterial injuries that can occur. Of course the commonest iatrogenic injury is post-catheterization femoral artery pseudoaneurysms, but this is discussed in another chapter. 

Other causes of saccular aneurysm formation include trauma and iatrogenic injury from percutaneous or surgical interventions. Any focal insult, perforation, or laceration can lead to pseudoaneurysm formation. These aneurysms are often symptomatic due to hemorrhage, pain, and hypotension that occur. Iatrogenic injuries will be discussed in a separate chapter of this text. 

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