Implementing Strategies to Identify and Mitigate Adverse Safety Events: A Case Study with Unplanned Extubations

BACKGROUND: Patient safety events result from failures in complex health care delivery processes. To ensure safety, teams must implement ways to identify events that occur in a non-random fashion and respond in a timely manner. To illustrate this, we describe our experience with an outbreak of unpla...

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Опубликовано в: :Jt Comm J Qual Patient Saf
Главные авторы: Hatch, L. Dupree, Rivard, Matthew, Bolton, Joyce, Sala, Christa, Araya, Wendy, Markham, Melinda H., France, Daniel J., Grubb, Peter H.
Формат: Artigo
Язык:Inglês
Опубликовано: 2018
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Article
Online-ссылка:https://ncbi.nlm.nih.gov/pmc/articles/PMC6491248/
https://ncbi.nlm.nih.gov/pubmed/30583986
https://ncbi.nlm.nih.govhttp://dx.doi.org/10.1016/j.jcjq.2018.11.003
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