Adverse Events in Affiliated Hospitals of Mazandaran University of Medical Sciences

Saravi, Benyamin Mohseni; Siamian, Hasan; Nezhad, Ayyob Barzegar; Asghari, Zoleleykha; Kabirzadeh, A

doi:10.5455/msm.2014.26.116-118

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…If the error reporting system is applied correctly, it evokes the reported risks experience for others while presenting educational resources and information sharing and reduces these hazards in the future. This result was also achieved by Saravi and colleagues (2014).…”

Section: Discussionsupporting

confidence: 63%

Factors affecting sentinel events in hospital emergency department: a qualitative study

Zaboli

Malmoon

Soltanizarandi

et al. 2018

IJHCQA

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Purpose A sentinel event is an unexpected occurrence resulting in death or serious physical or psychological injury or the risk thereof. The purpose of this paper is to investigate the influencing factors of sentinel events in the emergency department of a military hospital in Tehran to find out some of the effective solutions. Design/methodology/approach In this qualitative study with content analysis approach, 20 hospital healthcare personnel participated as participants from the fields of medicine and nursing. Purposive random sampling and semi-structured interviews were used for data collection. Atlas.ti software version 5.2 was used for data analysis. Findings Four themes and 32 subthemes were identified by numerous revisions and combining the codes. The four main themes of sentinel events were: causes, incidence barriers, cause prevention solutions, and barriers' improvement solutions. Moreover, these main factors were related to these issues: staff and patients' education, communication, assessment, patients and their companions, employee rights, leadership, care continuum, human factors, physical environment, information management and medication use. Some solutions were also suggested according to these factors and a policy was recommended. Practical implications Hospital managers and authorities should try to find the main causes of sentinel events by periodical analysis to find ways to prevent them in the future, using logical and reasonable solutions. Originality/value This study confirms that strategies to reduce the sentinel events in emergency departments should focus on empowerment of all staff.

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Section: Discussionsupporting

confidence: 63%

Factors affecting sentinel events in hospital emergency department: a qualitative study

Zaboli

Malmoon

Soltanizarandi

et al. 2018

IJHCQA

View full text Add to dashboard Cite

show abstract

“…The risks whether by providing the care and whether by hospital environment endanger patients, relatives and care providers. Therefore, a more accurate reporting and analysis of the report by focusing on access to preventative methods is essential ( 13 ).…”

Section: Introductionmentioning

confidence: 99%

Rate of Medical Errors in Affiliated Hospitals of Mazandaran University of Medical Sciences

Saravi¹,

Mardanshahi²,

Ranjbar³

et al. 2015

Mater Sociomed

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Introduction:Health care organizations are highly specialized and complex. Thus we may expect the adverse events will inevitably occur. Building a medical error reporting system to analyze the reported preventable adverse events and learn from their results can help to prevent the repeat of these events. The medical errors which were reported to the Clinical Governance’s office of Mazandaran University of Medical Sciences (MazUMS) in years 2011-2012 were analyzed.Methods and Materials:This is a descriptive retrospective study in which 18 public hospitals were participated. The instrument of data collection was checklist that was designed by the Ministry of Health of Iran. Variables were type of hospital, unit of hospital, season, severity of event and type of error. The data were analyzed with SPSS software.Results:Of 317966 admissions 182 cases, about 0.06%, medical error reported of which most of the reports (%51.6) were from non- teaching hospitals. Among various units of hospital, the highest frequency of medical error was related to surgical unit (%42.3). The frequency of medical error according to the type of error was also evaluated of which the highest frequency was related to inappropriate and no care (totally 37%) and medication error 28%. We also analyzed the data with respect to the effect of the error on a patient of which the highest frequency was related to minor effect (44.5%).Conclusion:The results showed that a wide variety of errors. Encourage and revision of the reporting process will be result to know more data for prevention of them.

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Adverse Events in Affiliated Hospitals of Mazandaran University of Medical Sciences

Cited by 2 publications

References 12 publications

Factors affecting sentinel events in hospital emergency department: a qualitative study

Factors affecting sentinel events in hospital emergency department: a qualitative study

Rate of Medical Errors in Affiliated Hospitals of Mazandaran University of Medical Sciences

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