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Quality review of an adverse incident reporting system and root cause analysis of serious adverse surgical incidents in a teaching hospital of Scotland

机译:苏格兰一家教学医院的不良事件报告系统的质量审查和严重不良手术事件的根本原因分析

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摘要

BackgroundA significant proportion of surgical patients are unintentionally harmed during their hospital stay. Root Cause Analysis (RCA) aims to determine the aetiology of adverse incidents that lead to patient harm and produce a series of recommendations, which would minimise the risk of recurrence of similar events, if appropriately applied to clinical practice. A review of the quality of the adverse incident reporting system and the RCA of serious adverse incidents at the Department of Surgery of Ninewells hospital, in Dundee, United Kingdom was performed.
机译:背景技术大量外科手术患者在住院期间会受到意外伤害。根本原因分析(RCA)的目的是确定导致患者伤害的不良事件的病因,并提出一系列建议,如果适当地应用于临床实践,则可以最大程度地减少再次发生类似事件的风险。在英国邓迪的Ninewells医院外科对不良事件报告系统的质量和严重不良事件的RCA进行了审查。

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