Never Events in Radiology and Strategies to Reduce Preventable Serious Adverse Events.
Radiographics
; 38(6): 1823-1832, 2018 Oct.
Article
em En
| MEDLINE
| ID: mdl-30303781
ABSTRACT
The term never event in medicine was originally coined by Kenneth W. Kizer, MD, MPH, former chief executive officer of the National Quality Forum, to describe particularly shocking medical errors that should never occur, such as wrong-site surgery or death associated with introduction of a metallic object into the MRI area. With time, the National Quality Forum's list of never events, or "serious reportable events," has been expanded to include adverse events that are unambiguous, serious, and usually preventable. In this article, the never event framework has been used to describe (a) the errors that may occur in an imaging department that are serious and usually preventable with a review of the causative factors and (b) strategies to eliminate and reduce the adverse effects of these avoidable errors. These errors are often rooted in communication breakdowns and can only be eliminated with a true shift to a culture of open reporting and patient safety. ©RSNA, 2018.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Garantia da Qualidade dos Cuidados de Saúde
/
Serviço Hospitalar de Radiologia
/
Diagnóstico por Imagem
/
Gestão da Segurança
/
Comunicação
/
Erros Médicos
/
Erros de Diagnóstico
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article