Study Conclusion: There was wide variation regarding how clinical programs identify and review adverse events and near misses within the morbidity and mortality conferences, quality assurance meetings, and educational conferences, and some programs had no such processes. A well-designed, coordinated process across all clinical areas that incorporates accepted approaches for event analysis may improve the quality and safety of patient care.

Citation for the Full-text Article

Martinez W, Lehmann LS, Hu Y, Desai SP, Shapiro J. Processes for identifying and reviewing adverse events and near misses at an academic medical center. Joint Commission Journal on Quality and Patient Safety. January 2017; 43(1): 5 -15.

Latest News from CRICO

Get all your medmal and patient safety news here.

    CRICO’s Patient Safety Leadership: A Missing Piece

    News
    Jeffrey Cooper, Professor of Anaesthesia of Harvard Medical School, was inspired to write a letter to the editor of Patient Safety and Quality Healthcare (PSQH); in response to Susan Carr's article about CRICO’s milestone 40th anniversary. Dr. Cooper highlights CRICO’s greatest achievements: its ability to convene clinical leaders from across the Harvard medical community.

    Communication Failures in Medical Malpractice – Lessons Learned From Candello

    News
    This article, co-authored by Mazen Maktabi and CRICO's Gretchen Ruoff for the American Society of Anesthesiologists publication ASA Monitor, examines how analyzing theCandello database of medical malpractice claims enables organizations to glean valuable insight as to the extent and cause of potential patient safety risks.

    Human-Machine Collaborative Optimization via Apprenticeship Scheduling

    News
    This thesis project—Human-Machine Collaborative Optimization via Apprenticeship Scheduling—was co-funded by CRICO and submitted to the Department of Aeronautics and Astronautics at Massachusetts Institute of Technology (MIT).
X
Cookies help us improve your website experience.
By using our website, you agree to our use of cookies.
Confirm