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The problem with 'never events'.

作者信息

Zaslow Joanna, Fortier Jacqueline, Garber Gary

机构信息

Evidence Synthesis Unit, Canadian Medical Protective Association, Ottawa, Ontario, Canada

Canadian Medical Protective Association, Ottawa, Ontario, Canada.

出版信息

BMJ Qual Saf. 2024 Aug 16;33(9):613-616. doi: 10.1136/bmjqs-2023-016981.

Abstract
摘要

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本文引用的文献

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A literature review exploring common factors contributing to Never Events in surgery.
J Perioper Pract. 2020 Sep;30(9):256-264. doi: 10.1177/1750458919886182. Epub 2020 Jan 9.
4
The Impact of Adverse Events on Clinicians: What's in a Name?
J Patient Saf. 2020 Mar;16(1):65-72. doi: 10.1097/PTS.0000000000000256.
5
Surgical caseload and the risk of surgical Never Events in England.
Anaesthesia. 2016 Jan;71(1):17-30. doi: 10.1111/anae.13290. Epub 2015 Nov 23.
6
Deaths by horsekick in the Prussian army - and other 'Never Events' in large organisations.
Anaesthesia. 2016 Jan;71(1):7-11. doi: 10.1111/anae.13261. Epub 2015 Nov 23.
7
"Never events" and the quest to reduce preventable harm.
Jt Comm J Qual Patient Saf. 2015 Jun;41(6):279-88. doi: 10.1016/s1553-7250(15)41038-4.

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