Articles with "sentinel events" as a keyword



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Unintentionally Retained Guidewires: A Descriptive Study of 73 Sentinel Events.

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Published in 2019 at "Joint Commission journal on quality and patient safety"

DOI: 10.1016/j.jcjq.2018.08.003

Abstract: BACKGROUND Unintentionally retained foreign objects remain the sentinel events most frequently reported to The Joint Commission. Many of these objects are guidewires used to facilitate placement of catheters, tubes, and other devices. The purpose of… read more here.

Keywords: retained guidewires; joint commission; study; patient safety ... See more keywords

Risk Factors for Neonatal Hypoxic‐Ischemic Encephalopathy in the Absence of Sentinel Events

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Published in 2019 at "American Journal of Perinatology"

DOI: 10.1055/s-0038-1639356

Abstract: Objective Hypoxic‐ischemic encephalopathy (HIE) may be associated with intrapartum sentinel events or may be unexplained. We sought to identify risk factors for unexplained HIE cases and compare their morbidity and mortality to cases associated with… read more here.

Keywords: ischemic encephalopathy; sentinel events; hypoxic ischemic; risk factors ... See more keywords