Root cause analysis is a technique used in determining the real cause of an event. The Sentinel Event Policy of the Joint Commission on Accreditation of Healthcare Organizations requires a root cause analysis of a sentinel event but not a "near miss." However, root cause analysis is an import...
A near miss can also be a wake-up call, alerting you to problems in processes or systems that might pose serious risks to patient safety. Performing a root cause analysis of a near miss can show you where to make changes before another near miss becomes a sentinel event....
Near-miss is a serious adverse event that leads to harm and morbidity in the mother, but from which she survives [4]. Since 'near-miss' is somewhat more frequent than maternal deaths, interest has grown in using it as an indicator of the quality of obstetric care [5]. Because surviving...
Severe maternal morbidity (near miss) as a sentinel event of maternal death. An attempt to use routine data for surveillance p pBackground/p pTo identify all the records within the Brazilian Hospital Information System (HIS) that contained information suggestive of severe materna... MH Sousa,JG...
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The gift of travel can be everything from the trip itself (even create a registry so that lots of friends and family can contribute), to pre-arranging some experience or activity to enhance a trip: a dining experience; a spa visit; admission to a museum, attraction or cultural event; a...
Disney California Adventure, one of the two parks comprising Disneyland Resort, will at long last bring guests back into its coastal grounds for a new ticketed dining event starting next month. Attractions will not be in operation as per current California COVID-19 restrictions, and while there...
DiMarco feels great despite near miss.(Milwaukee Journal Sentinel)Manoyan, Dan