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Nursing / Medical ethics / Patient safety / Emergency medicine / Medical error / Sentinel event / Patient / Emergency department / Patient safety organization / Medicine / Health / Medical terms


Northland District Health Board Waitemata District Health Board Auckland District Health Board Counties Manukau District Health Board
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Document Date: 2014-07-10 18:40:15

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File Size: 1,03 MB

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Company

Sentinel / Health Board Whanganui District Health Board Hawke / Criteria / Completed Serious 4D Patient / Other 12 Hospital / /

Event

Product Issues / M&A / /

Facility

clinic Patient / toilet Limited / building Preventability / Waikato Hospital / hospital Adoption / /

IndustryTerm

advisory / hours services / appropriate clinical management / chemical burn / pain relief management / surgical management / relief management / focus / metal / urokinase protocol / crisis services / massive transfusion protocol / patient management systems / clients attending groups / pain management / infected luer site / bladder scanning equipment / surgical equipment / web-based programmes / luer site / intravenous site / treatment for severe acute inflammatory muscle disease / urokinase blood thinning protocol / causing a chemical burn / /

MedicalCondition

patient In progress Sentinel 4D Undiagnosed blood clot / anaphylactic reaction / allergies / wound infection / depressed level of consciousness / place Sentinel 4A/B Pressure ulcer / injury / baby suffered cerebral palsy / condition Significant tissue infection / cardiac arrest / client’s injury / outbreak Extensive infection / pulmonary embolus / condition Severe pneumonia / stroke / cognitive impairment / diabetes / allergy / seizure / earlier No allergy / CARM Revise allergy / deep vein thrombosis / Prolonged MRSA infection / infection / renal failure / event Review findings Recommendations/actions Follow-up Serious 4A/C Neonatal seizures / minimisation project initiatives Serious 4G Shoulder injury / low blood pressure / numbness / dense stroke / staff Delirium / left shoulder requiring intensive physiotherapy Stroke / probable ongoing dehydration / tachycardia / senior diabetes / sepsis / head injury / Post-operative delirium / burn / gastroenteritis / hospital-acquired pneumonia / hernia / pain / blister / newly printed cataract / strangulated hernia / cardiac injury / heart attack / delirium / suspected heart attack / cataract / inadequate pain control exacerbating critical condition Infection / injuries / /

MedicalTreatment

cardiac surgery / plastic surgery / cannulation / bed rest / emergency treatment / surgery / hysterectomy / resuscitation / dialysis / physical restraint / day surgery / peritoneal dialysis / Blood transfusion / antibiotics / elective surgery / hip joint replacement / chemotherapy / physiotherapy / Medication error / catheter / catheters / psychotherapy / psychological therapy / pain management / hip replacement / /

NaturalFeature

Unwitnessed fall / Bay of Plenty Serious / Implement falls / Appropriate falls / Completed Falls / New falls / Risk falls / Inpatient fall / Patient fall / /

Organization

Midwifery Council / Centre for Adverse Reactions Monitoring / Waikato Hospital / British Thoracic Society / Health Quality &Safety Commission Wellington / /

Person

Patient / Short / Small / Completed Serious / Baby / Incomplete / /

Position

psychiatrist / advisor / physical assessment Medical specialist nurse / commode chair / sudden collapse hit head / team manager / senior medical officer / registrars college supervisor / supervisor / physiotherapist / midwife / assistant / general practitioner / walker / integrated model of service Development / officer / team manager for the team / case manager / Clinical nurse specialist / nurse / chair / Medication safety pharmacist / medical officer / service manager / manager for follow-up / circulating nurse / head / /

Product

Carboprost medication / digoxin / pre-op / penicillin / Augmentin / 4A Delayed / Serious 4D Oral medication / patient information / handover / multidisciplinary planning External review / More / consent process Consider / pain control exacerbating critical condition Infection / /

ProgrammingLanguage

C / /

ProvinceOrState

Wairarapa District / Taranaki District / Otago District / MidCentral District / Canterbury District / Marlborough District / Southland District / Waikato District / Tairawhiti District / Waitemata District / Auckland District / Manukau District / /

PublishedMedium

Ophthalmology / /

Region

West Coast / /

Technology

ward transfer Protocol / X-ray / urokinase protocol / diagnostic tests / chemotherapy / urokinase blood thinning protocol / CAT / dialysis / GPS / ultrasound / form Protocols / massive transfusion protocol / MRI / laser / /

URL

www.hqsc.govt.nz / /

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