Reporting of sentinel events inSwedish hospitals: a comparison of severe adverse events reported bypatients and providers. Ohrn A,Elfstrom J,Liedgren C, et al. Jt Comm J Qual Patient Saf . 2011Ohrn A, Elfstrom J, Liedgren C, Rutberg H. Reporting of sentinel events in Swedish hospitals: a...
However, not all sentinel events occur because of a medical error and not all harm that results from medical errors are sentinel events. The Solutions for Patient Safety (SPS) National Children's Network of more than 90 children's hospitals is focused on reducing patient harm that results from...
Although rare, sentinel events can occur at even the best of hospitals with the most skilled surgeons and with the most experienced perioperative teams. No professional or organization is immune to the potential risk for an untoward patient outcome that can result in significant injury or death. ...
Purpose: Ineffective communication is the most frequently reported cause of sentinel events in U.S. hospitals. Examining hospital processes and systems ... M Dufault,CE Duquette,J Ehmann,... - Worldviews on Evidence-Based Nursing 被引量: 35发表: 2010年 Decreasing Adverse Events through Night...
In addition, experts have commented on the events and the related root causes and risk reduction strategies. The Joint Commission offers this information for consideration by hospitals, long term care facilities and behavioral health care organizations in their continuing efforts to reduce the risk of...
8 by The Joint Commission urges hospitals to take specific steps to prevent serious complications or even deaths from opioid use.Opioid analgesics rank among the drugs most frequently associated with adverse drug events. Research shows that opioids, such as morphine, oxycodone and methadone, can ...
Suicide in the hospital is one of the most common types of sentinel events, and hospitals can (and should) take steps to decrease the likelihood of experie... CL Tishler,NS Reiss - 《General Hospital Psychiatry》 被引量: 86发表: 2009年 Why isn't 'time out' being implemented? An explora...
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关键词: BRAZIL CONCEPTUAL structures DRUG overdose EMERGENCY medical services LENGTH of stay in hospitals INTERVIEWING RESEARCH methodology PATIENTS POISONING PUBLIC health surveillance RESEARCH SENTINEL health events SUBSTANCE abuse ADOLESCENCE DOI: 10.5205/reuol.6825-58796-1-SM.0812201419 被引量: 1 ...
Due to its focus on pediatric hospitals, CHIRPP potentially provides a valuable source of CM data. To our knowledge, there are no studies that have exclusively examined child maltreatment using the CHIRPP database. This study: (1) describes CM cases identified in the CHIRPP database between...