Global ETD Search
Search theses and dissertations gathered from participating repositories worldwide. Every result links back to the library that holds it. No account is needed.
Results
Showing 1 to 7 of 7 for “"sentinel event"”.
-
Assessment of Falls Protocol Use on Medical-Telemetry Units
… responsible for all costs incurred from the sentinel event, and do not receive re-imbursement from insurances for services provided. In the large, metropolitan hospital, falls increased from 31 in 2016 to 36 in 2017, prompting an analysis of current fall protocols and root causes for the …
-
Assessment of Falls Protocol Use on Medical-Surgical Units
… over $30,000 (Centers for Disease Control and Prevention [CDC], 2016) and may add up to 6.3 days to the hospital stay (JC, 2015). Falls with serious injury are consistently among the Top 10 sentinel events reported to The Joint Commission’s Sentinel Event database (JC, 2015). The most common …
-
Fall Prevention: Responder 5 Bed Connectors
<p>This paper explores falls, a sentinel event plaguing hospitals in the United States and internationally. Falls are a major contributor to negative patient outcomes and a source of financial strain for hospitals. One particular fall prevention intervention, Responder 5 bed alarms, was explored. A …
-
Determinants of Nonrecovery Following Hip Fracture in Older Adults: a Chronic Disease Trajectory Analysis
Hip fracture in older adults may be the sentinel event leading to functional decline, long-term disability, and death. For the substantial number of older persons who fracture a hip each year, the chances of full functional recovery remains relatively low. The purpose of this study was to examine …
-
How Perioperative Define, Attribute Causes of, and React to Intraoperative Nursing Errors
… from the error and interventions designed to prevent future errors. This study provided evidence that perioperative nurses experienced a variety of emotions after committing an error which led to alterations in the way they practiced.
-
Reducing the Risk of Suicide on an Inpatient Acute Behavioral Health Unit
… ranked in the top five most frequently reported events to the Joint Commission since 1995 (Joint Commission, 2010). A random sample questionnaire was distributed to 20 fulltime behavioral health registered nurses, which yielded16 completed questionnaires. Of the 16 completed questionnaires, 13 of …
-
A descriptive retrospective audit of the obstetric conditions which occur in mothers of babies with neonatal encephalopathy at Mowbray Maternity Hospital in 2016
… or intrapartum obstetric complications (known as sentinel events); and the relative contribution of intrapartum hypoxia. Unlike perinatal mortality, NE rates are not routinely audited by maternity facilities. At Mowbray Maternity Hospital, a formal audit was conducted in 2008, which measured the …