Slide 28. Event data

The "Seven Pillars" Approach: Crossing the Patient Safety—Medical Liability Chasm

Slide 28. Event data.

Anesthesia Resident Physician event reporting data:

Category of occurrenceNumberLack of adequate supervision
Consent/Documentation32 of 3
Disruptive provider70 of 7
Equipment70 of 7
Patient fall20 of 2
Lab specimen mislabeled20 of 2
Medication issues193 of 19
OB anesthesia complications30 of 3
Delay in treatment/service80 of 8
Unplanned extubation20 of 2
Patient transport issues120 of 12
Treatment/procedure complications
[intubation, regional block, central line placement]
120 of 12
Resident needlestick20 of 2

Contents

Current as of May 2012
Internet Citation: Slide 28. Event data: The "Seven Pillars" Approach: Crossing the Patient Safety—Medical Liability Chasm. May 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/events/nac/2012-04-nac/mcdonald/mcdonald28.html