'Sentinel events' presentation slideshows

Founding Chapter Clinical Governance Roundtable

1.1k views • 82 slides

Patient Safety

893 views • 71 slides

The Impact of Medical Errors

The Impact of Medical Errors. Two Boeing 747s, operated by KLM and Pan Am, collide due to breakdowns in communication and safety checks. Number of people killed: 583. Diane Brack.

581 views • 54 slides

The Integration of Quality Assurance, Risk Management, and Patient Safety:

The Integration of Quality Assurance, Risk Management, and Patient Safety:. The Sharing of Information for Outcomes Improvement. Continuous Quality Improvement.

556 views • 48 slides

The Integration of Quality Assurance, Risk Management, and Patient Safety:

The Integration of Quality Assurance, Risk Management, and Patient Safety:. The Sharing of Information for Outcomes Improvement. Continuous Quality Improvement.

485 views • 48 slides

Sentinel events and near miss reporting, analysis and prevention

Sentinel events and near miss reporting, analysis and prevention. The Good Hospital Practice Training Series 2009 The Medical City. All hospitals have sentinel events.

712 views • 44 slides

554 views • 41 slides

State Veterans Homes VA Survey Overview

State Veterans Homes VA Survey Overview. Valarie Delanko JoAnne Parker Office of Geriatrics & Extended Care (10NC4) Winter Conference 2019. Discussion Topics. SVH Background 2018 Survey Overview Sentinel Events Overview SVH Analytics Update. SVH Program Census.

357 views • 35 slides

Quality Management in Your Practice: A Nuts and Bolts Primer

Quality Management in Your Practice: A Nuts and Bolts Primer. Richard P. Dutton, MD MBA Executive Director Anesthesia Quality Institute. Some people need feedback on their work performance. Introduction. I am an anesthesiologist. I have led QM programs at the department and hospital levels

353 views • 35 slides

Quality Accounts National Workshop

Quality Accounts National Workshop. A National Snapshot Ethan Tucker 26 February 2014. Purpose. The Quality Accounts are designed to: Demonstrate your commitment to continuous evidence-based quality improvement across all services

441 views • 29 slides

Conducting an Infection Associated Root Cause Analysis

Conducting an Infection Associated Root Cause Analysis. John R. Rosing, MHA, FACHE Vice President and Principal Patton Healthcare Consulting May 3, 2012. Sentinel Event Defined.

439 views • 28 slides

443 views • 27 slides

Patient Safety 2013

375 views • 26 slides

Kupu Taurangi Hauora o Aotearoa

November 2010. Kupu Taurangi Hauora o Aotearoa. Making Our Hospitals Safer Serious and Sentinel Events 2009/2010 Report released 17 November, 2010. New Zealand has an excellent health system However, for a small number of people events happen that: cause harm, or

434 views • 20 slides

Surveillance Key Points

386 views • 19 slides

Communication and Handoffs

Communication and Handoffs. Cathryn Caton, MD, MS. Goals and Objectives. Define clinical handoffs Demonstrate the importance of effective handoffs Understand key components of an effective standardized handoff Discuss the handoff environment and communication techniques. Clinical handoff.

343 views • 11 slides

State Veterans Home Sentinel Events

State Veterans Home Sentinel Events. Valarie Delanko, RDN, LDN, CPHQ National SVH Program Manager for Quality and Oversight VACO GEC. Objectives. To define a State Veterans Homes (SVH) Sentinel Event.

113 views • 11 slides

Informing Patients/Families of Unanticipated or Unexpected Outcomes

197 views • 7 slides

The Joint Commission: Sentinel Event Data - Root Causes by Event Type 2004-2011 at

Most Frequently Identified Root Causes of Sentinel Events Identified by The Joint Commission in 2011. The Joint Commission: Sentinel Event Data - Root Causes by Event Type 2004-2011 at http ://www.jointcommission.org/assets/1/18/Root_Causes_Event_Type_2004-2011.pdf

882 views • 1 slides