SENTINEL EVENTS WORKBOOK-Health and disability sector to learn from mistakes

摘要

'SURGEON OPERATES ON WRONG SIDE OF BRAIN'......was a headline that appeared in our newspapers recently.The event that it referred to did not take place in New Zealand and the patient suffered no ill effects from the error,but it is headlines such as these that serve to undermine patient confidence in the health and disability sector,says Gillian Bohm,Senior Advisor Quality Improvement,at the Ministry of Health.