Risk Watch Quarterly (February '22)

Service: Risk Management
Type: Risk Watch

Editor's Note

The February 2022 issue of Risk Watch includes articles on the three HIROC patient safety drivers: maternal neonate, mental health death by suicide under care, and patient deterioration. You will find articles on opioids and COVID-19 within maternal neonatal care, a study investigating the link between suicide and attempted suicide locations and access to care, and study exploring the involvement of next-of-kin in regulatory investigations of adverse events that caused patient death.



Reviewing the Evidence on Prenatal Opioid Exposure to Inform Child Development Policy and Practice

A report from ICES summarizing existing research to support the development of guidelines or universal programs for infants with prenatal opioid exposure.

Camden, A., et al Healthc Q. 2021 Oct;24(3):7-12. doi: 10.12927/hcq.2021.26626

Suicide and Suicide Attempts on Veterans Affairs Medical Center Outpatient Clinic Areas, Common Areas, and Hospital Grounds

US study analyzing suicide deaths and attempts occurring outside inpatient units on other hospital locations.

Rajendran S, Mills PD, Watts BV, Gunnar W. J Patient Saf. 2022 Jan 1;18(1):33-39. doi: 10.1097/PTS.0000000000000796. PMID: 33273398.

Regulatory Investigations of Adverse Events That Caused Patient Death: A Process Evaluation

Norwegian study exploring experiences from various perspectives as part of a new involvement method in the regulatory investigation process of adverse events causing patient death.

  • (Part I - The Next of Kin's Perspective). J Patient Saf. 2021 Dec 1;17(8):e1713-e1718. doi: 10.1097/PTS.0000000000000630. PMID: 31651540; PMCID: PMC8612916.
  • (Part II: The Inspectors' Perspective). J Patient Saf. 2021 Dec 1;17(8):e1707-e1712. doi: 10.1097/PTS.0000000000000634. PMID: 31651541; PMCID: PMC8612908.


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