sábado, 12 de mayo de 2018

Retained guidewires in the Veterans Health Administration: getting to the root of the problem. | AHRQ Patient Safety Network

Retained guidewires in the Veterans Health Administration: getting to the root of the problem. | AHRQ Patient Safety Network

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  • Study
  •  
  • Published February 2018

Retained guidewires in the Veterans Health Administration: getting to the root of the problem.

    This study examined reports stemming from retained guidewires, a never event, across Veterans Affairs hospitals. Common causes included inexperience, lack of checklists, and insufficient standardization. The authors recommend applying human factors approaches to prevent this adverse event.
















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