Narrow Results Clear All
- Communication Improvement 1
- Culture of Safety 1
- Education and Training 1
- Error Reporting and Analysis
- Human Factors Engineering 1
- Legal and Policy Approaches 2
- Quality Improvement Strategies 1
- Teamwork 1
- Technologic Approaches 1
Search results for ""
Cases & Commentaries
- Spotlight Case
- Web M&M
Peter Lindenauer, MD, MSc; November 2006
A woman with end stage renal disease and heart disease on anticoagulation receives a pneumonia vaccination that causes a large hematoma.
Special or Theme Issue
Health Serv Res. 2006;41:1535-1720.
Salt Lake City, UT: Utah Department of Health, Utah Hospitals & Health Systems Association, and HealthInsight; March 10, 2010.
This brief provides information on 101 sentinel events reported to the state of Utah in 2009. The report also includes background on efforts to address such incidents.