Severe maternal morbidity (near miss) as a sentinel event of maternal death: an attempt to use routine data for surveillance. Reprod Health 2008;5:6.Sousa MH, Cecatti JG, Hardy EE, Serruya SJ. Severe maternal morbidity (near miss) as a sentinel event of maternal death. An attempt to ...
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...
The surgeon performed breast conserving surgery and sentinel lymph node biopsy. The specimen radiograph showed adequate margins. The cavity was estimated at 70 mL, and the 5- to 6-cm applicator, which has a balloon fill volume of 65 to 130 mL, was selected. At the time, a single 20-mL...
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...
Sentinel’s NRT rules were designed to be highly responsive by running queries at intervals just one minute apart. How do they work? NRT rules are designed to run once every minute and capture events ingested in the preceding minute, so as to be able to supply you with i...
A population-based surveillance study on severe acute maternal morbidity (near-miss) and adverse perinatal outcomes in Campinas, Brazil: The Vigimoma Project p pBackground/p pAuditing of sentinel health events based on best-practice protocols has been recommended. This study describes a population-...
Moreover, fluorescence-guided sentinel lymph node dissection facilitates accurate tumor staging. For bladder cancer and prostate cancer, pelvic lymphatic drainage is complex and variable, and it is easy to miss metastatic lymph nodes. Determining the number and extent of pelvic lymph node dissection (...
Eastwind Lake Placid, 6048 Sentinel Road, Lake Placid,518-837-1882, https://www.eastwindhotels.com/lake-placid-overview. For a luxury, resort-style experience: the historic Mirror Lake Inn Resort & Spa (77 Mirror Lake Dr, Lake Placid, NY 12946, 518-523-2544, mirrorlakeinn.com; and Hi...
On our last visit, we really enjoyed our stay at Eastwind Lake Placid, which offers a variety of lodging options including cabins and lushnas (6048 Sentinel Road, Lake Placid, 518-837-1882, https://www.eastwindhotels.com/lake-placid-overview). Also, the Golden Arrow Lakeside Resort, right...
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....