sábado, 24 de agosto de 2019

Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned. | AHRQ Patient Safety Network

Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned. | AHRQ Patient Safety Network

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  • Study
  •  
  • Published June 2017

Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned.

    This study examined root cause analyses performed by the Veterans Health Administration to identify and characterize anesthesia-related safety events. Although a relatively small number of events were found, the authors identified several human factors solutions that, if implemented, could prevent common types of errors.

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