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7
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18
Citations
Additional affiliations
July 2019 - present
Amsterdam UMC
Position
- PhD candicate
Publications
Publications (7)
Objectives
Patient safety is a core component of quality of hospital care and measurable through adverse event (AE) rates. A high-risk group are femoral neck fracture patients. The Dutch clinical guideline states that the treatment of choice is cemented total hip arthroplasty (THA) or hemiarthroplasty (HA). We aimed to identify the prevalence of AE...
Objectives:
Improving patient safety by investigating sentinel events (SEs) is hampered by the focus on isolated events within hospitals and a narrow scope of traditional root cause analysis methods. We aimed to examine if performing cross-hospital aggregate analysis of SEs applying a novel generic analysis method (GAM) bearing a human factor pers...
Introduction:
Human error plays a vital role in diagnostic errors in the emergency department. A thorough analysis of these human errors, using information-rich reports of serious adverse events (SAEs), could help to better study and understand the causes of these errors and formulate more specific recommendations.
Methods:
We studied 23 SAE rep...
Deze infographic biedt een grafische weergave van het rapport 'Monitor Zorggerelateerde Schade 2019 in Nederlandse Ziekenhuizen', met o.a. de resultaten van de volgende onderzoeksvragen:
1. Wat is de aard, ernst & omvang van (potentieel vermijdbare) zorggerelateerde schade en sterfte?
2. Wat is de schade bij toepassing medische technologie?
3. Wat...
In dit rapport worden de resultaten gepresenteerd van de nieuwe landelijke meting van de Monitor Zorggerelateerde schade in Nederlandse ziekenhuizen. Zorggerelateerde schade wordt gedefinieerd als: “een onbedoelde uitkomst die is ontstaan door het (niet) handelen van een zorgverlener en/of door het zorgsysteem met schade voor de patiënt zodanig ern...
Background:
Hospitals in various countries such as the Netherlands investigate and analyse serious adverse events (SAEs) to learn from previous events and attempt to prevent recurrence. However, current methods for SAE analysis do not address the complexity of healthcare and investigations typically focus on single events on the hospital level. Th...
Objectives:
Unintended events (UEs) are prevalent in healthcare facilities, and learning from them is key to improve patient safety. The Prevention and Recovery Information System for Monitoring and Analysis (PRISMA)-method is a root cause analysis method used in healthcare facilities. The aims of this systematic review are to map the use of the P...