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I warned Harmoni's directors that it was only a matter of time before a "serious clinical incident" might occur.
If this is a clinical incident, the patient involved and/or her immediate relatives, as well as her GP, will be informed of this investigation and its progress.
After a difficult crash call where the equipment was not on the trolley in the right place, I had a clinical incident form put in about me, suggesting my abilities as a doctor were insufficient and that I was not fit to progress to specialty training.
"If the child had been more ill the journey could have had serious consequences … The service is leading to patient complaints and I fear it is only a matter of time before this low level of service leads to a serious clinical incident," Kavalier wrote.
Investigations into Medical Emergency Team (MET) calls and related clinical incident reviews at a large district teaching hospital provided evidence that over sedation can be a significant issue post opioid administration and that safe and effective pain management requires accurate opioid knowledge and patient assessment skills.
The QH clinical incident (CI) data dictionary provides definitions for a selection of fall-related field types.
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The clinical consequences of nursing fluctuations in this situation are measurable, for example, by incidence of pressure sores, hospital acquired infections and adverse clinical incidents.
In the first few weeks after its implementation, the trust cited Cerner as the causal factor in 16 clinical incidents, including problems such lack of patient notes and incorrect clinic lists.
In March 2012 the trust said the EPR roll out had led to a series of clinical incidents.
The documents said: "There have been a small but significant number of clinical incidents … some of which could have had serious consequences for patients".
The board received notice in 2007 that Gayed had been involved in a "number of clinical incidents" at Mona Vale hospital and as a result had resigned.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com