Benchmarking posterior capsule rupture rate in glaucoma patients before and after patient‐surgeon risk match

Abstract

AbstractPurposeTo investigate posterior capsule rupture (PCR) rate in glaucoma patients before and after the implementation of patient risk and surgeon match system.MethodsThe study included patients from the Glaucoma service between 2010 and 2017 that had phacoemulsification. Rates of PCR are analysed annually for internal reporting use and were compared before and after implementation of patient risk and surgeon match system.ResultsThe rate of PCR was 1.75% in 2010–2011, 1.04% in 2012–2013, 1.30% in 2014, 0.91% in 2015, 1.01% in 2016 and 1.03% in 2017. The mean rate before matching system was 1.36%; after intervention the PCR rate dropped to 0.98%, showing a reduction of 27.9% in the unadjusted PCR rate.ConclusionThe PCR rate was within national standards by the Royal College of Ophthalmologists (1.95%) at all time. It also concurred with the 30% reduction in National Ophthalmic Database between first reporting in 2010 and subsequent one in 2016–2017. This shows how a robust reporting system with feedback can aid to patient safety, boosting performance with benchmarking.