Risks of reporting sentinel events.

Abstract

Commentary Health AffairsVol. 19, No. 5 Risks of Reporting Sentinel EventsBryan A. Liang AffiliationsBryan Liang is Dr. Arthur W. Grayson Distinguished Professor of Law and Medicine, at the Southern Illinois University Schools of Law and Medicine, in Carbondale. He is currently on leave as a faculty fellow at the Institute for Social Law, Katholieke Universiteit, Leuven, in Belgium.PUBLISHED:September/October 2000No Accesshttps://doi.org/10.1377/hlthaff.19.5.112AboutSectionsView articleView Full TextView PDFPermissions ShareShare onFacebookTwitterLinked InRedditEmail ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions View articleTOPICSLegal and regulatory issuesRoot cause analysisHealth care providersPatient safetyQuality of careLiabilityLegislationMedical malpracticeClinical careHospital administration Loading Comments... Please enable JavaScript to view the comments powered by Disqus. DetailsExhibitsReferencesRelated Article MetricsCitations: Crossref 26 History Published online 1 September 2000 InformationCopyright © by Project HOPE: The People-to-People Health Foundation, Inc.ACKNOWLEDGMENTSThis paper was presented in part at the thirty-ninth Annual Meeting of the American College of Legal Medicine, New Orleans, 11–13 March 1999. The author gratefully acknowledges the support of the GarwinFamilyFoundation, the editing assistance of Shannon M. Biggs, and the comments of Don Metz and two anonymous reviewers.PDF downloadCited ByEffectiveness of systems changes suggested by simulation of adverse surgical outcomes23 December 2015 | BMJ Simulation and Technology Enhanced Learning, Vol. 1, No. 3Using simulation to improve root cause analysis of adverse surgical outcomes11 February 2014 | International Journal for Quality in Health Care, Vol. 26, No. 2To report or not to report? Why some nurses are reluctant to whistleblowClinical Governance: An International Journal, Vol. 17, No. 4Can simulation improve the traditional method of root cause analysis: A preliminary investigationSurgery, Vol. 152, No. 3Inpatient suicide: preventing a common sentinel eventGeneral Hospital Psychiatry, Vol. 31, No. 2A Legal Perspective on Errors in Medicine28 February 2013Legal Concerns in Patient SafetyJournal of Patient Safety, Vol. 4, No. 2The Patient Safety and Quality Improvement Act of 2005Journal of Patient Safety, Vol. 4, No. 1Special doctor's docket: discovery of patient safety materials in the Veterans Affairs systemJournal of Clinical Anesthesia, Vol. 20, No. 1Clinicians' and managers' responses to patients' complaintsClinical Governance: An International Journal, Vol. 12, No. 4Patient Safety Data Sharing and Protection From Legal Discovery5 February 2021 | Journal of Medical Regulation, Vol. 93, No. 2The Patient Safety and Quality Improvement Act of 2005: Provisions and Potential Opportunities3 September 2016 | American Journal of Medical Quality, Vol. 22, No. 1"Health Courts" and Accountability for Patient SafetyThe Milbank Quarterly, Vol. 84, No. 3Fade to Black: Importation and Counterfeit Drugs6 January 2021 | American Journal of Law & Medicine, Vol. 32, No. 2-3Los sistemas de registro y notificación de efectos adversos y de incidentes: una estrategia para aprender de los erroresRevista de Calidad Asistencial, Vol. 20, No. 4Learning from OthersJournal of Patient Safety, Vol. 1, No. 2Medical Liability Insurance and Damage Caps: Getting beyond Band Aids to Substantive Systems Treatment to Improve Quality and Safety in Healthcare6 January 2021 | American Journal of Law & Medicine, Vol. 30, No. 4To err on humans is not benignJournal of Health Economics, Vol. 23, No. 5Medical MalpracticeNew England Journal of Medicine, Vol. 350, No. 3U.S. Legal System for Medical Safety and Quality-Focusing on Reporting Systems, Administrative Sanctions, and Performance EvaluationSOCIOTECHNICA, Vol. 2Patients' and Physicians' Attitudes Regarding the Disclosure of Medical ErrorsSurvey of Anesthesiology, Vol. 47, No. 5Does Full Disclosure of Medical Errors Affect Malpractice Liability? The Jury Is Still OutThe Joint Commission Journal on Quality and Safety, Vol. 29, No. 10Layperson and physician perceptions of the malpractice system: implications for patient safetySocial Science & Medicine, Vol. 57, No. 1An overview of United States lawHematology/Oncology Clinics of North America, Vol. 16, No. 6Health Policy ReviewHealthcare Delivery as a Service System