scholarly journals Presumed adverse events in health care are a frequent indication for medico-legal autopsy in Finland

2019 ◽  
Vol 16 (1) ◽  
pp. 65-70
Author(s):  
Lasse Pakanen ◽  
Noora Keinänen ◽  
Paula Kuvaja
Keyword(s):  
Health Care ◽  
Risk Management ◽  
Adverse Event ◽  
Adverse Events ◽  
Gastrointestinal Surgery ◽  
Legal Protection ◽  
Clinical Risk Management ◽  
Data Set ◽  
Manner Of Death ◽  
Clinical Risk

AbstractThe medico-legal autopsy is an essential tool in investigating deaths caused by an adverse event in health care, for both clinical risk management and for professional liability issues. However, there are no statistics available regarding the frequency of autopsies performed due to suspected adverse events. This study aimed to determine the number of medico-legal autopsies done because of presumed adverse events, whether these events were unintentional, medical errors or cases in which malpractice was suspected. Furthermore, differences in treatment types, causes and manner of death were analyzed. The data was obtained from all medico-legal autopsies performed in Northern Finland and Lapland during 2014–2015 (n = 2027). Adverse events were suspected in 181 (8.9%) cases. The suspicions of an adverse event occurring were most often related to medication, gastrointestinal surgery and orthopedic surgery. The manner of death was classified as medical (or surgical) treatment or investigative procedure in 22 (12.2%) cases. The causes of death were completely unrelated to the suspected adverse event in 41 (22.7%) cases. In conclusion, the frequency of presumed adverse events was quite high in this data set, but in the majority of the cases, the suspicion of an adverse event causing death was disproved by an autopsy. Nonetheless, proper investigation of these cases is essential to ensure legal protection of the deceased, next of kin and health care personnel, as well as to support clinical risk management.

Outcomes of Effective Integration of Clinical Risk Management Into Health Care From Nurses’ Viewpoints: A Qualitative Study

2020 ◽  
Vol 41 (2) ◽  
pp. 189-197
Author(s):  
Jamileh Farokhzadian ◽  
Amirreza Sabzi ◽  
Nahid Dehghan Nayeri
Keyword(s):  
Health Care ◽  
Risk Management ◽  
Qualitative Study ◽  
Qualitative Content Analysis ◽  
Clinical Risk Management ◽  
Clinical Risk ◽  
Quantitative And Qualitative Research ◽  
Starting Point ◽  
Medical University ◽  
Effective Integration

The aim of this study was to explore nurses’ experiences and viewpoints about the outcomes of effective integration of clinical risk management (CRM) into health care. This qualitative study was conducted using purposive sampling and semistructured interviews with 19 nurses from three hospitals affiliated with a large medical university. Data were analyzed by the conventional qualitative content analysis method proposed by Lundman and Graneheim. Data analysis reflected the following concepts: improving the quality of services and promoting health, preserving and protecting patient safety, increasing satisfaction, improving staff morale, and improving organizational awareness and vigilance. According to the results, CRM with its positive outcomes can help the development of a patient-oriented culture. The results can be a starting point for further quantitative and qualitative research to explore other strategies, potentials, and capacities of quality improvement activities such as CRM in other contexts and cultures.

Does Clinical Risk Management Improve the Quality of Health Care?

Clinical Risk ◽  
1995 ◽  
Vol 1 (5) ◽  
pp. 171-174
Author(s):  
Don Harper Mills ◽  
G. E. von Bolschwing
Keyword(s):  
Health Care ◽  
Risk Management ◽  
Quality Of Health Care ◽  
Clinical Risk Management ◽  
Clinical Risk

scholarly journals Adverse Events and Malpractice Claims in Endodontics

2018 ◽  
Vol 2 (1) ◽  
pp. 367-375
Author(s):  
Gabriel Fonseca ◽  
Karina Mira ◽  
Héctor Beltrán ◽  
Katherine Peña ◽  
Violeta Yendreka
Keyword(s):  
Health Care ◽  
Risk Management ◽  
Adverse Event ◽  
Adverse Events ◽  
Inappropriate Drug ◽  
Negative Effects ◽  
Significant Frequency ◽  
Iatrogenic Complications ◽  
Malpractice Claims ◽  
Health Care Treatment

An "adverse event" has defined as a non-intentional complication result of health care treatment, and although it can have different causes, always involves the providing care, but not the complications inherent to the patient’s disease itself. Adverse events, iatrogenic complications and malpractice have been clearly differentiated because only malpractice causes liability: while iatrogenic events can be result of a well-performed procedure, malpractice involves damage caused by negligence or lack of knowledge, and it is a potential for complaint and liability claim. In dentistry, endodontics is one of the specialties of greatest challenge where adverse events and malpractice claims have been reported with significant frequency. We present a literature review searching the main causes and results of malpractice claims in endodontics. Three articles from Italy, Israel and Denmark were selected, where the most claimed adverse events were root perforations, inappropriate drug therapies, defective root fillings and instrument fracture. One of the articles referred to malpractice verdicts in 97.5 % of claims. Since endodontics leads dental malpractice claims in Chile, strategies of risk management for these procedures are discussed; the adherence to strict protocols is proposed and measures to minimize the negative effects of these events are recommended.

scholarly journals Clinical Risk Management: As Modern Tool for Prevention and Management of Care and Prevention Occupational Risk

2022 ◽  
Vol 19 (2) ◽  
pp. 831
Author(s):  
Raffaele La Russa ◽  
Stefano Ferracuti
Keyword(s):  
Risk Management ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Healthcare Personnel ◽  
Clinical Risk Management ◽  
Clinical Risk ◽  
Performance Quality ◽  
Management Of Care ◽  
Modern Tool

Clinical Risk Management aims to improve the performance quality of healthcare services through procedures that identify and prevent circumstances that could expose both the patient and the healthcare personnel to risk of an adverse event [...]

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