Archive for April 13th, 2020
Learn from Defects Tool
Reading Time: < 1 minute Problem statement: Health care organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that a future patient will be harmed. […]
Understanding and preventing Sentinel and Adverse Events
Reading Time: < 1 minute An Sentinel Event is defined as an unintended or unexpected event, related to the quality of care, which caused death or serious harm to a patient. Healthcare organizations must analyze […]
The next step in learning from sentinel events in healthcare
Reading Time: < 1 minute Objective The aim of this study was to evaluate the current status of handling and learning from sentinel events (SEs) in Dutch academic hospitals and to develop a basis for the […]