Clarifying "never events" and introducing "always events"
نویسندگان
چکیده
منابع مشابه
Clarifying "never events and introducing "always events"
Despite the widespread usage of the term "never events," the National Quality Forum (NQF) refers to these events as "serious reportable events" in all of their definitions and references. In this editorial, we use the popular but likely improper term "never events" as it further illustrates the public's perception of adverse occurrences. Although the preferred terminology reverts to "serious re...
متن کاملMistaken memories: remembering events that never happened.
Our memories can be accurate, but they are not always accurate. Eyewitness testimony, for example, is notoriously unreliable. Insights into both veridical and false remembering have come from recent investigations of memory distortion. Behavioral measures have been used to demonstrate false memory phenomena in the laboratory, and neuroimaging measures have been used to provide clues about the r...
متن کاملSurgical never events in the United States.
BACKGROUND Surgical never events are being used increasingly as quality metrics in health care in the United States. However, little is known about their costs to the health care system, the outcomes of patients, or the characteristics of the providers involved. We designed a study to describe the number and magnitude of paid malpractice claims for surgical never events, as well as associated p...
متن کاملIntroducing monitoring events to timed-CSP
Timed-CSP is a process algebra designed to help in the modelling and analysis of real-time concurrent systems. Timed-CSP can handle synchronisation events that require the cooperation of all the interested parties and broadcasting events which do not require any cooperation from the environment. This paper argues that, still, there are scenarios that can not be adequately modelled in Timed-CSP ...
متن کاملCompositional Nonblocking Verification with Always Enabled Events and Selfloop-Only Events
This paper proposes to improve compositional nonblocking verification through the use of always enabled and selfloop-only events. Compositional verification involves abstraction to simplify parts of a system during verification. Normally, this abstraction is based on the set of events not used in the remainder of the system, i.e., in the part of the system not being simplified. Here, it is prop...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Patient Safety in Surgery
سال: 2009
ISSN: 1754-9493
DOI: 10.1186/1754-9493-3-26