Adverse Events

Medical doctor and nurse doing consult in private

Disclosure of Adverse Events and Errors

According to the American Medical Association’s Code of Medical Ethics, in situations involving patient harm potentially resulting from a physician’s mistake or judgment, physicians are required to discuss with the patient all the pertinent information around the event in order to ensure full understanding. This enables informed decision-making for future care (Fondahn et al, 2016). …

Disclosure of Adverse Events and Errors Read More »

Worried pregnant lady in hospital

Adverse Events, Near Misses & Medical Errors

A 37-year-old pregnant woman was admitted to the hospital for scheduled induction of labor for postterm dates. Early the next morning, intravenous oxytocin was administered to induce labor. When the obstetrics team rounded on the patient several hours later, AROM (artificial rupture of membranes) was recommended to accelerate labor. The intern reviewed the patient’s chart …

Adverse Events, Near Misses & Medical Errors Read More »

Acronym RCA - Root Cause Analysis

Root Cause Analysis

How does learning occur from adverse events, near misses, and errors?   One method is through root cause analysis (RCA).  RCA is a systematic process in which adverse events and near misses are investigated. This approach came from high-risk industries such as nuclear power and aviation and was modified for health care as the patient safety …

Root Cause Analysis Read More »

Scroll to Top