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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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| Veröffentlicht in: | Jt Comm J Qual Patient Saf |
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| Hauptverfasser: | , , , , , , , |
| Format: | Artigo |
| Sprache: | Inglês |
| Veröffentlicht: |
2018
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| Schlagworte: | |
| Online Zugang: | 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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