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Displaying 1 - 10 of 10

Risk Case Studies

Care

Mental Health

Patient Deterioration – Mental Health

Key Words Emergency Room, Inpatient Suicide, Physical/ Environmental Design, Acute Care, Mental Health Monitoring Abstract An at-risk patient committed suicide in hospital. The…
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Risk Case Studies

Care

Mental Health

Restraints and Self-Harm

Key Words Acute Care, Mental Health, Restraints, Monitoring, Elopement, Documentation, Post-Operative Care, Agitation and Paranoia Abstract An agitated post…
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Risk Reference Sheets

Care

Mental Health

Mismanagement of Clients’ Rights

Claims involving allegations that a client’s rights were breached in the course of receiving mental health and addiction care can take a variety of forms. Examples of these include…

Risk Profiles

Care

Mental Health

Care – Suicide / Self-Harm

Suicidal / self-harm behaviours are complex and multi-factorial, which make them very challenging predictors of future conduct. The care of individuals at risk of suicide can be improved…
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Risk Profiles

Care

Infection

Care – Infection Control

Infection control and its associated risks relating to Healthcare Associated Infections (HAIs) in a healthcare organization can have significant patient safety implications and adverse…
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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 Reference Sheets

Care

Mental Health

Inadequate Mental Health Facility and Space Design

Facility design is a key element of inpatient mental health safety and harm reduction. Designated inpatient stabilization and recovery programs as well as non-designated programs (e.g.,…

Risk Reference Sheets

Care

Mental Health

Death by Suicide and / or Attempts While In-Care

Suicidal behaviours are complex and multi-factorial which make them very challenging predictors of future conduct. This challenge impacts family, colleagues, and clinicians alike…

Risk Reference Sheets

Care

Infection

Healthcare Associated Infections (HAI)

Healthcare associated infections (HAIs), also known as nosocomial infections, are a significant, yet often preventable, patient safety issue. The World Health Organization defines HAIs…

Risk Case Studies

Care

Mental Health

Patient Deterioration – Mental Health – Understaffing

Key Words Psychiatry, Inpatient Suicide, Monitoring, Process Improvement, Documentation, Patient Deterioration, Staffing Anecdotal, Notes Abstract An at-risk patient died by suicide…
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Topics

  • All Topics
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  • Abuse
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  • Complaints Management
  • Consent
  • Deteriorating Patient
  • Diagnostic Errors
  • Discharge
  • Emergency Department
  • Equipment
  • Falls
  • Incident
  • Medications
  • Obstetrics
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  • Wounds

Types

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  • Risk Case Studies
  • Risk Profiles
  • Risk Reference Sheets

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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