Performance variability in perioperative sentinel events: report on a nationwide data set

This study aimed to evaluate how performance variability contributes to perioperative sentinel events occurring within the Dutch healthcare system. Although performance variability was identified as a contributing factor in almost all analysis reports, it remains unrecognized by the sentinel event a...

Descripción completa

Detalles Bibliográficos
Autores principales: Reijmerink, Iris M., Bos, Kelly, Leistikow, Ian P., Groeneweg, Jop, Cnossen, Fokie, Dongelmans, Dave A., van der Laan, Maarten J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Short Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10364676/
https://www.ncbi.nlm.nih.gov/pubmed/35373247
http://dx.doi.org/10.1093/bjs/znac067
Descripción
Sumario:This study aimed to evaluate how performance variability contributes to perioperative sentinel events occurring within the Dutch healthcare system. Although performance variability was identified as a contributing factor in almost all analysis reports, it remains unrecognized by the sentinel event analysis team. Strengthening the integration of performance variability in sentinel event analyses could improve the analyses performed, and lead to more effective improvement measures specifically aimed at optimizing human performance within the healthcare system.

Ejemplares similares