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Displaying 31 - 40 of 98

Risk Case Studies

Care

Medications

Medication Adverse Event – Heparin

Key WordsHigh Alert Medication, Patient Deterioration, Neurology, Peer Reviews, Hierarchy of Effectiveness, Personal/ Anecdotal Notes, Second Victims, Complaint…
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Risk Case Studies

Care

Deteriorating Patient

Patient Deterioration – Neurology

Key Words Acute Care, Post-Operative Care, Neurology, Diagnostic Imaging, Patient Deterioration, Documentation, Monitoring, Hierarchy and Culture, Interprofessional Communication …
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Risk Case Studies

Care

Surgery

Patient Deterioration – Post Surgical

Key Words Patient Deterioration, Acute Care, Blood Products, Surgical Care, Anoxic Brain Damage, Post-Operative Care Abstract A post-surgical patient sustained permanent anoxic brain…
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Risk Case Studies

Care

Infection

The Unsterile Needle

Key Words Diagnostic Imaging, Nuclear Medicine, Acute Care, Hierarchy of Effectiveness Abstract An unsterile needle was inadvertently used on a patient undergoing a…
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Risk Notes

Care

Consent

Substitute Decision Makers

Overview of Issue A substitute decision-maker (SDM) is someone permitted by law to make treatment and placement decisions on a patient’s behalf in the event of their incapacity. Due to…
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Risk Profiles

Care

Care – Acuity

This risk relates to high patient acuity and the associated complexity or challenging medical conditions. Risks emerge relating to clinical capacity, emergent care and response,…
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Risk Notes

Risk and Safety Theory

Theory and Process

Human Error and Human Factors

Overview of Issue Humans have limitations and are fallible, making human error predictable, inevitable and frequent. Fortunately, most human errors have no negative impact, however,…
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Risk Profiles

Care

Incident

Care - Adverse Events

Reporting, learning from, and reducing adverse events and potential harm to patients is part of fostering safe systems of care and managing risk. Factors that may contribute to adverse…
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Risk Profiles

Care

Falls

Care - Falls

Falls prevention is an Accreditation Canada ROP (Required Organizational Practices). Falls may lead to significant physical and psychological harm to patients/clients/residents,…
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Risk Case Studies

Care

Obstetrics

Vaginal Birth After Prior C-Section

Key Words Obstetrics, Acute Care, Interprofessional Communication, Monitoring, Uterine Rupture, Vaginal Birth After Prior Caesarean Section, Patient Deterioration …
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  • (-) All Topics
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  • Consent
  • Deteriorating Patient
  • Diagnostic Errors
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  • IRM and Risk Register
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  • Risk Assessment Checklists
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  • Theory and Process
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Types

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  • Reports
  • Risk Case Studies
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Partnering to create the safest healthcare system

HIROC is not just a not-for-profit, we are a reciprocal. This means we are governed by our Subscribers – a group of over 800 diverse healthcare organizations across Canada. Together we share learnings and find ways to adapt to the changing nature of the industry.
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