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Table 1 Orthopaedic surgical adverse events severity [OrthoSAVES] system

From: Surgical treatment of displaced isolated lateral malleolar fractures: incidence of adverse events requiring revision: a retrospective cohort study

Orthopaedic surgical adverse events severity system [25]

Grade

Definition

I

Adverse event does not require treatment and has no adverse effect

II

Adverse event requires simple or minor invasive treatment (e.g., antibiotics, Foley catheter, nasogastric [NG]) tube) and has no long-term effect on patient outcome

III

Adverse event requires invasive (e.g., surgery) or complex treatment (e.g., monitored bed) and is most likely to have a temporary (less than 6 months) adverse effect on outcome

IV

Adverse event requires invasive (e.g., surgery) or complex treatment (e.g., monitored bed) and is most likely to have a prolonged (more than 6 months) adverse effect on outcome1

V

Sentinel or significant life or limb threatening event2

VI

Adverse event resulting in death

  1. 1. Any adverse event with functionally significant (i.e., patient-reported or objective) and most likely prolonged (> 6 months) adverse effect on outcome should be graded as severity grade 4, regardless of treatment complexity (or scenario where there is no possibility of treatment). 2. A sentinel event is an unexpected serious life or limb-threatening event and/or an event that necessitates institutional investigation and review to determine the root cause. For example, the wrong surgical site should automatically be graded at severity 5