Leadership, Safety Culture, and their Role in Preventing Medical Errors
VOLUME 23, 2026
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Essa Abdulrahman Almutairi, Faisal Ruwaished Al-Mutairi, Abdullah Mohammed Alshahrani, Salem Mohammed Ali Alshehri, Saleh Falah Alanazi, Nujood Ahmed Majrashi, Sattam Faisal Nashi Almuhaya, Saleh Muidh Alshehri, Abdulaziz Ali Alshamrani
Nada Abdulrahim Alshami, Aqeelah Ali Al Darwish
Abstract
Patient Safety Culture (PSC) refers to the collective values, beliefs, and behavioral norms within healthcare organizations that prioritize patient safety as a core operational principle. It reflects how safety is perceived, enacted, and sustained across all organizational levels, from executive leadership to frontline healthcare providers. A strong PSC fosters shared responsibility for minimizing harm and promoting safe clinical practices. It extends beyond preventing individual mistakes to creating systems that encourage learning, transparency, and continuous improvement. Importantly, PSC promotes a non-punitive environment in which healthcare professionals feel empowered to report errors and near misses without fear of blame. This approach strengthens institutional learning and risk management capacity (Macedo et al., 2020; Eliyana et al., 2020).
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Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Abstract
Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords :
Diabetic foot ulcer, angiosome, angioplasty