SNZ HB 8152:2001
Sentinel Events Workbook
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$39.95 NZD(ex GST)Members
$44.95 NZD (ex GST)Retail
$35.96 NZD(ex GST)Members
This workbook promotes a positive modern approach to addressing and investigating sentinel events. It assists in developing an understanding of the root causes of a sentinel event and improving safety through effective reporting. The processes in the workbook promote a culture of safety, where discovering and reporting mistakes, errors and close calls is rewarded and not punished.
[hide]Publishing Information:
Status: CURRENT
Published: 24/09/2001
Pages: 40 Committee: P8152
ICS Codes:
11.020 Medical sciences and health care facilities in generalReferences:
[show]Other References:
- British Medical Journal Vol.320, 18 March 2000, pp 725-726.
- Clinical Health Unit and Alarm (1999)
- Committee on Quality and Health Care in America, Institute of Medicine
- Healh Funding Authority (2000)
- Joint Commission on Acccreditation of Healthcare Organizations
- New Zealand Ministry of Health (2001) Repeatable Events Guidelines.
- Sparth, Patrice L,(1997) Investigating Sentinel Events Systems: How to Find and Resolve Root Causes. Forest Grove: Brown-Spath
- Vincent C Risk, Safety and the Dark Side of Quality Improving Quality in Health Care Should Include Removing the Causes of Harm. British Medical Journal, Vol. 314, 21 June 1997, p1775
- Vincent C, Taylor-Adams, Sally, Stanhope, N. Education and Debate - Framework for Analysing Risk and Safety in Clinical Medicine. British Medical Journal, Vol. 316, 11 April 1998, pp, 1154 - 1157