Identifying and learning from mistakes.

摘要

THE American Society of Anesthesiologists has been lauded for the 1984 institution of its Closed Claims Project to identify patient safety hazards. Although the time delay from identifying to mitigating a risk using closed claims is long, such claims are a vital source of data to improve patient safety. Hove et al? built upon this rich history by reviewing 24 anesthesia-related death claims filed with the Danish Patient Insurance Association from 1996 to 2004.