[How to manage analysis and feedback of adverse events in transfusion]. / Analyse d'un incident de la chaîne transfusionnelle et gestion du retour d'expérience.
Transfus Clin Biol
; 16(4): 407-22, 2009 Sep.
Article
em Fr
| MEDLINE
| ID: mdl-19782626
ABSTRACT
Analysing adverse events is part of the medical practice in so far as the part it plays is outstanding in terms of feedback and improved healthcare safety. The integrated implementation of this practice is based on a four-dimensional system strategic (corporate policies), cultural (safety-oriented cultural mindset), structural (dedicated organization and resources) and technical (methodologies and utilities). Two case studies illustrate the sequencing process from selecting the to-be-analyzed event down to figuring out the appropriate action plan. Beyond the visible and obvious origin, thanks to the implemented methods such as causal tree or ALARM method, far-fetched analysis elements and identified factors likely to explain events can be discovered. Comments on the role and terms of feedback are also hereto expressed.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Garantia da Qualidade dos Cuidados de Saúde
/
Gestão da Segurança
/
Reação Transfusional
Tipo de estudo:
Prognostic_studies
Limite:
Female
/
Humans
/
Middle aged
/
Pregnancy
Idioma:
Fr
Revista:
Transfus Clin Biol
Assunto da revista:
HEMATOLOGIA
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
França