The attributes of an incident further describe the unwanted event, but they should not form an impediment for the ICU nurses and physicians to report.
Fear of being held responsible for the unwanted event may affect the physician's role with regard to communication, and fail to meet the patient's expectations [ 13].
Fear of being sued, the shame of error, and fear of economic consequences, may push physicians to conceal the unwanted event rather than reveal it.
It is strong and can grow stronger, and people's lives can be changed for good because of these unwanted events.
Fault tree analysis (FTA) can be used for this purpose through providing an understanding of the logic leading to an unwanted event through a top to down deductive failure analysis in which Boolean logic combined a series of lower-level events are used to analysis the undesired state of a system.
A comprehensive hazard analysis consists of first understanding different factors that would lead to an unwanted event.
"Trading spare tickets is often a nightmare," says Roiter, noting that the business of shifting unwanted event tickets still invariably takes place across "multiple" channels.
The Italian code of medical deontology recently approved stipulates that physicians have the duty to inform the patient of each unwanted event and its causes, and to identify, report and evaluate adverse events and errors.
Finally, the code recently approved now stipulates that physicians have an ethical duty to inform the patient of each unwanted event and its causes, and to identify, report adverse events, near misses, procedural and diagnostic errors.
The doctor has an ethical duty to inform the patient of each unwanted event and its causes, and to identify and report adverse events, near misses and procedural and diagnostic errors [ 26].
The definition of an AE is: An unintended and unwanted event or state occurring during or following medical care, that is so harmful to a patient's health that (adjustment of) treatment is required or that permanent damage results.
