{"title":"Events That Inspired Change: The Importance of Sharing What Happened to Stop It From Happening Again","authors":"E. Myers, Caitlyn Allen","doi":"10.33940/001c.74079","DOIUrl":null,"url":null,"abstract":"Reporting events that caused harm or could have caused harm to patients is not just a law in Pennsylvania, it’s also one of the best ways to improve patient safety. Event reports can be the first indication of underlying problems, regardless of whether harm occurs. They also are essential tools for triggering widespread change throughout a facility—and beyond.","PeriodicalId":46782,"journal":{"name":"Patient Safety in Surgery","volume":"18 1","pages":""},"PeriodicalIF":2.6000,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Patient Safety in Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.33940/001c.74079","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Reporting events that caused harm or could have caused harm to patients is not just a law in Pennsylvania, it’s also one of the best ways to improve patient safety. Event reports can be the first indication of underlying problems, regardless of whether harm occurs. They also are essential tools for triggering widespread change throughout a facility—and beyond.
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