Erschienen in:
01.01.2009 | 2008 ssat other
Learning from Adverse Events and Near Misses
verfasst von:
Caprice C. Greenberg
Erschienen in:
Journal of Gastrointestinal Surgery
|
Ausgabe 1/2009
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Excerpt
Patient safety has received increasing attention since the Institute of Medicine (IOM) published To Err is Human suggesting that 3–4% of hospitalized patients will experience an adverse event. In looking closer at the etiology of these events, it is obvious that, as surgeons, we can play a major role in improving patient safety. Over half of all medical adverse events are surgical in nature and 75% of these occur in the operating room (OR). It therefore seems that the greatest improvements in patient safety will be achieved by targeting the OR for safety research and intervention. …