Slide 28. Event data.

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

On April 13, 2012, Timothy McDonald, MD, JD, made this presentation at the meeting of the National Advisory Council.

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

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