Surgical adverse outcome reporting as part of routine clinical care.
Qual Saf Health Care 19(6):e20 (2010) PMID 20430928
In The Netherlands, health professionals have created a doctor-driven standardised system to report and analyse adverse outcomes (AO). The aim is to improve healthcare by learning from past experiences. The key elements of this system are (1) an unequivocal definition of an adverse outcome, (2) appropriate contextual information and (3) a three-dimensional hierarchical classification system.
DOI: 10.1136/qshc.2008.027458
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