Intraoperative Sentinel Events in the Era of Surgical Safety Checklists: Results of a National Survey.

OTO open(2020)

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摘要
Surgical safety checklists are widely used in otolaryngology and are generally acknowledged as the most effective intervention to reduce patient safety events; nonetheless, intraoperative sentinel events do continue to occur. Understanding the scope, causes, and response to these events may help to prioritize resources to guide quality improvement initiatives in surgical safety practices.
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关键词
adverse events,checklist,medical error,operating room fire,operating room safety,otolaryngology,patient safety,patient safety events,quality improvement,retained foreign body,sentinel events,wrong-patient surgery,wrong-site surgery
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