Presentation is loading. Please wait.

Presentation is loading. Please wait.

Investigating the Causes of Adverse Events

Published byMagdalen James Modified over 6 years ago

Similar presentations

Presentation on theme: "Investigating the Causes of Adverse Events"— Presentation transcript:

1 Investigating the Causes of Adverse Events
Juan A. Sanchez, MD, Kevin W. Lobdell, MD, Susan D. Moffatt-Bruce, MD, PhD, James I. Fann, MD  The Annals of Thoracic Surgery  Volume 103, Issue 6, Pages (June 2017) DOI: /j.athoracsur Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 The cause-and-effect (or Ishikawa) diagram is one of several basic tools that can be used in a root cause analysis to show causal relationships and contributory factors leading to an adverse event [10, 15, 21]. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Download ppt "Investigating the Causes of Adverse Events"

Similar presentations

Changes in Risk Profile Over Time in the Population of a Pediatric Heart Transplant Program Olaf Reinhartz, MD, Katsuhide Maeda, MD, Bruce A. Reitz, MD,

Changes in Risk Profile Over Time in the Population of a Pediatric Heart Transplant Program Olaf Reinhartz, MD, Katsuhide Maeda, MD, Bruce A. Reitz, MD,
Cumulative Corticosteroid Exposure and Infection Risk After Complex Pediatric Cardiac Surgery  Christopher W. Mastropietro, MD, Renee Barrett, MD, Maria.

Cumulative Corticosteroid Exposure and Infection Risk After Complex Pediatric Cardiac Surgery  Christopher W. Mastropietro, MD, Renee Barrett, MD, Maria.
Effusive Tuberculous Pericarditis

Effusive Tuberculous Pericarditis
Giant Transdiaphragmatic Intercostal Hernia

Giant Transdiaphragmatic Intercostal Hernia
The STS National Database

The STS National Database
Risk-Adjusted Prolonged Length of Stay as an Alternative Outcome Measure for Pediatric Congenital Cardiac Surgery  Ming Liu, MS, MA, Charlotte M. Druschel,

Risk-Adjusted Prolonged Length of Stay as an Alternative Outcome Measure for Pediatric Congenital Cardiac Surgery  Ming Liu, MS, MA, Charlotte M. Druschel,
John J. Squiers, MD, Kevin W. Lobdell, MD, James I. Fann, MD, J

John J. Squiers, MD, Kevin W. Lobdell, MD, James I. Fann, MD, J
Diaphragmatic Defect Complicating Peritoneal Dialysis

Diaphragmatic Defect Complicating Peritoneal Dialysis
International Participation in The Society of Thoracic Surgeons Adult Cardiac Surgery Database: From Institutional to National  Oz M. Shapira, MD, Orit.

International Participation in The Society of Thoracic Surgeons Adult Cardiac Surgery Database: From Institutional to National  Oz M. Shapira, MD, Orit.
Jeffrey G. Gaca, MD, Shubin Sheng, PhD, Mani Daneshmand, MD, J

Jeffrey G. Gaca, MD, Shubin Sheng, PhD, Mani Daneshmand, MD, J
Long Esophageal Segment Laceration Caused by an Orogastric Tube During Laparoscopic Sleeve Gastrectomy  Sang Kuon Lee, MD, Jongho Lee, MD  The Annals.

Long Esophageal Segment Laceration Caused by an Orogastric Tube During Laparoscopic Sleeve Gastrectomy  Sang Kuon Lee, MD, Jongho Lee, MD  The Annals.
Burdens Without Blessings: Peer Reviewers Get No Respect

Burdens Without Blessings: Peer Reviewers Get No Respect
Anomalous Great Cardiac Vein Draining Into the Superior Vena Cava

Anomalous Great Cardiac Vein Draining Into the Superior Vena Cava
Michelle C. Ellis, MD, Brian S. Diggs, PhD, John T. Vetto, MD, Paul H

Michelle C. Ellis, MD, Brian S. Diggs, PhD, John T. Vetto, MD, Paul H
Surgical Resection of a Giant Coronary Aneurysm

Surgical Resection of a Giant Coronary Aneurysm
A Malignant Incarcerated Bochdalek Hernia

A Malignant Incarcerated Bochdalek Hernia
Susanne Lison, MD, Michael Spannagl, MD, PhD, Wulf Dietrich, MD, PhD 

Susanne Lison, MD, Michael Spannagl, MD, PhD, Wulf Dietrich, MD, PhD 
Patient Safety: Disclosure of Medical Errors and Risk Mitigation

Patient Safety: Disclosure of Medical Errors and Risk Mitigation
Pleural Metastasis of Osteosarcoma

Pleural Metastasis of Osteosarcoma
Public policy and the practicing physician

Public policy and the practicing physician

Similar presentations

Ads by Google