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Patient Safety in Psychiatry
1.7 Methods and Tools Evaluation
1.7 Methods and Tools Evaluation
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Video Transcription
Video Summary
Section seven of the video discusses methods and tools for evaluating adverse events in healthcare organizations. Reporting and evaluating adverse events is crucial for continuous improvement. Reporting processes can be structured or voluntary, but the ideal system is non-punitive and non-blaming. Some events, such as sentinel events or abuse in hospitals, may require mandatory reporting. Internal reporting should focus on deviations from processes, near misses, and observations. Internal reporting has shown to lead to quality improvement. However, it can be challenging to get individuals to report incidents. Confidentiality needs to be considered, but there are protected reporting systems in place. Root cause analysis is a method used to investigate adverse events and identify system vulnerabilities. Failure modes effects analysis is used to identify potential contributing factors for future adverse events. The video also mentions morbidity and mortality conferences and probable risk assessment as additional evaluation methods.
Keywords
adverse events
healthcare organizations
reporting processes
quality improvement
root cause analysis
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