How to manage analysis and feedback of adverse events in transfusion
Analysing adverse events is part of the medical practice in so far as the part it plays is outstanding in terms of feedback and improved healthcare safety. The integrated implementation of this practice is based on a four-dimensional system: strategic (corporate policies), cultural (safety-oriented...
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| Veröffentlicht in: | Transfusion clinique et biologique : journal de la Société française de transfusion sanguine 2009-09, Vol.16 (4), p.407-422 |
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| container_title | Transfusion clinique et biologique : journal de la Société française de transfusion sanguine |
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| creator | Roussel, P Moll, M-C Lassale, B Ragni, J |
| description | Analysing adverse events is part of the medical practice in so far as the part it plays is outstanding in terms of feedback and improved healthcare safety. The integrated implementation of this practice is based on a four-dimensional system: strategic (corporate policies), cultural (safety-oriented cultural mindset), structural (dedicated organization and resources) and technical (methodologies and utilities). Two case studies illustrate the sequencing process from selecting the to-be-analyzed event down to figuring out the appropriate action plan. Beyond the visible and obvious origin, thanks to the implemented methods such as causal tree or ALARM method, far-fetched analysis elements and identified factors likely to explain events can be discovered. Comments on the role and terms of feedback are also hereto expressed. |
| doi_str_mv | 10.1016/j.tracli.2009.07.003 |
| format | Article |
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| fulltext | fulltext |
| identifier | ISSN: 1246-7820 |
| ispartof | Transfusion clinique et biologique : journal de la Société française de transfusion sanguine, 2009-09, Vol.16 (4), p.407-422 |
| issn | 1246-7820 |
| language | fre |
| recordid | cdi_proquest_miscellaneous_734093112 |
| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Feedback Female Humans Medical Errors - prevention & control Middle Aged Organizational Culture Organizational Policy Pregnancy Quality Assurance, Health Care Safety Management - methods Transfusion Reaction |
| title | How to manage analysis and feedback of adverse events in transfusion |
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