New Study in April 2017 Issue of The Joint Commission Journal on Quality and Patient Safety
An Office of Inspector General report in 2010 recommended internal hospital reporting of all harms—whether considered a complication, a preventable harm, or a harm caused by system failures or errors (all-cause harm). A study in the April 2017 issue of The Joint Commission Journal on Quality and Patient Safety details how the Adventist Health System Patient Safety Organization, Altamonte Springs, Florida, developed an automated all-cause harm trigger system to enable the identification of current patients who may have experienced harm or may be at risk for harm. ... |