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 occurrence Number Lack of adequate supervision
Consent/Documentation 3 2 of 3
Disruptive provider 7 0 of 7
Equipment 7 0 of 7
Patient fall 2 0 of 2
Lab specimen mislabeled 2 0 of 2
Medication issues 19 3 of 19
OB anesthesia complications 3 0 of 3
Delay in treatment/service 8 0 of 8
Unplanned extubation 2 0 of 2
Patient transport issues 12 0 of 12
Treatment/procedure complications
[intubation, regional block, central line placement]
12 0 of 12
Resident needlestick 2 0 of 2

Contents

Page last reviewed October 2014
Internet Citation: Slide 28. Event data. Content last updated October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/events/nac/2012-04-nac/mcdonald/mcdonald28.html