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- Discontinuities, Gaps, and Hand-Off Problems
- Identification Errors 2
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- Medication Safety 2
- Wrong-Site Surgery
- Intraoperative Complications
Search results for "Wrong-Site Surgery"
Journal Article > Study
The contribution of sociotechnical factors to health information technology–related sentinel events.
Castro GM, Buczkowski L, Hafner JM. Jt Comm J Qual Patient Saf. 2016;42:70-79.
This study reviewed sentinel events reported to The Joint Commission between 2010 and 2013 to examine how health information technology (IT) may contribute to serious adverse outcomes. The most frequently identified health IT–related sentinel events were medication errors, wrong-site surgery, and delays in treatment.
Web Resource > Multi-use Website
The Joint Commission.
The Joint Commission has traditionally focused on accreditation of health care organizations and, through its Joint Commission Resources arm, on quality improvement (QI) in areas related to its accreditation functions. In the first major initiative under the leadership of new president Dr. Mark Chassin, The Joint Commission launched this Center, which will focus on applying rigorous QI methods to improve safety in a number of challenging areas (the first three are hand hygiene, handoff communication, and preventing wrong site surgery) and disseminating the lessons from these efforts. This Web site provides more information about the Center and its goals.
Oakbrook Terrace, IL: The Joint Commission; March 2007.
This report reveals that the overall quality of care delivered by US hospitals improved steadily between 2003 and 2005, as measured by adherence to evidence-based treatments for myocardial infarction, congestive heart failure, and pneumonia. Adherence to the Joint Commission's National Patient Safety Goals, which include measures to prevent wrong-site surgery and promote medication reconciliation, was also measured. Although results on these measures showed a more mixed picture, the report cautions that changes in measurement during the study period limit interpretability of the results.