Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis

S E Muething; P H Conway; E Kloppenborg; A Lesko; P J Schoettker; M Seid; U Kotagal

doi:10.1136/qshc.2008.031393

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Error management

Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis

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	Abstract	Full	Pdf
Aug 2010	26	1	8
Oct 2010	238	15	36
Nov 2010	123	29	49
Dec 2010	42	9	22
Jan 2011	30	5	17
Feb 2011	46	7	21
Mar 2011	45	13	21
Apr 2011	47	7	19
May 2011	41	6	12
Jun 2011	76	9	17
Jul 2011	60	11	10
Aug 2011	43	10	13
Sep 2011	48	11	18
Oct 2011	53	2	13
Nov 2011	61	74	5
Dec 2011	70	4	9
Jan 2012	65	1	6
Feb 2012	55	5	6
Mar 2012	63	3	10
Apr 2012	83	1	5
May 2012	70	7	11
Jun 2012	91	6	9
Jul 2012	61	3	4
Aug 2012	106	3	8
Sep 2012	88	4	6
Oct 2012	157	5	15
Nov 2012	76	7	7
Dec 2012	49	5	8
Jan 2013	56	3	7
Feb 2013	58	3	1
Mar 2013	74	1	3
Apr 2013	80	1	7
May 2013	53	0	1
Jun 2013	45	2	5
Jul 2013	27	2	9
Aug 2013	45	1	4
Sep 2013	65	6	9
Oct 2013	61	3	6
Nov 2013	68	4	8
Dec 2013	27	1	3
Jan 2014	48	1	2
Feb 2014	47	3	7
Mar 2014	75	1	5
Apr 2014	63	3	7
May 2014	43	6	4
Jun 2014	28	3	6
Jul 2014	49	3	4
Aug 2014	29	1	2
Sep 2014	35	0	1
Oct 2014	42	5	8
Nov 2014	25	0	2
Dec 2014	22	4	5
Jan 2015	42	0	4
Feb 2015	28	1	2
Mar 2015	37	8	5
Apr 2015	38	3	8
May 2015	181	1	7
Jun 2015	209	1	2
Jul 2015	287	1	3
Aug 2015	324	3	4
Sep 2015	88	9	1
Oct 2015	30	3	5
Nov 2015	39	3	4
Dec 2015	61	1	6
Jan 2016	31	4	3
Feb 2016	51	3	5
Mar 2016	23	9	6
Apr 2016	43	6	7
May 2016	31	2	1
Jun 2016	30	2	3
Jul 2016	21	1	1
Aug 2016	51	0	1
Sep 2016	46	4	5
Oct 2016	44	3	2
Nov 2016	34	3	2
Dec 2016	28	0	1
Jan 2017	37	6	2
Feb 2017	31	2	2
Mar 2017	42	6	8
Apr 2017	38	5	7
May 2017	48	0	0
Jun 2017	57	13	4
Jul 2017	49	3	2
Aug 2017	37	6	1
Sep 2017	74	2	2
Oct 2017	73	0	1
Nov 2017	96	4	3
Dec 2017	93	2	2
Jan 2018	68	2	2
Feb 2018	87	1	0
Mar 2018	96	10	4
Apr 2018	64	7	2
May 2018	115	13	4
Jun 2018	80	16	4
Jul 2018	56	4	2
Aug 2018	79	3	4
Sep 2018	26	1	2
Oct 2018	43	4	1
Nov 2018	45	6	3
Dec 2018	45	2	2
Jan 2019	26	1	0
Feb 2019	34	3	1
Mar 2019	42	3	0
Apr 2019	46	9	3
May 2019	35	12	2
Jun 2019	35	12	2
Jul 2019	22	2	0
Aug 2019	14	0	0
Sep 2019	18	0	1
Oct 2019	55	3	5
Nov 2019	41	3	1
Dec 2019	40	0	0
Jan 2020	30	2	1
Feb 2020	34	4	1
Mar 2020	4	0	0
Apr 2020	26	1	1
May 2020	26	2	1
Jun 2020	37	4	2
Jul 2020	26	2	4
Aug 2020	19	1	3
Sep 2020	45	1	7
Oct 2020	23	2	1
Nov 2020	39	2	0
Dec 2020	26	0	0
Jan 2021	22	2	1
Feb 2021	47	1	3
Mar 2021	23	5	4
Apr 2021	30	3	0
May 2021	20	8	1
Jun 2021	6	6	0
Jul 2021	8	0	0
Aug 2021	4	3	0
Sep 2021	5	4	4
Oct 2021	28	3	2
Nov 2021	53	2	1
Dec 2021	28	1	3
Jan 2022	33	2	0
Feb 2022	20	1	0
Mar 2022	43	2	3
Apr 2022	29	1	0
May 2022	42	0	0
Jun 2022	56	4	1
Jul 2022	17	0	0
Aug 2022	51	2	1
Sep 2022	43	2	0
Oct 2022	33	2	0
Nov 2022	25	1	0
Dec 2022	14	1	0
Jan 2023	14	3	0
Feb 2023	79	2	1
Mar 2023	104	2	0
Apr 2023	29	1	2
May 2023	118	0	0
Jun 2023	26	2	1
Jul 2023	15	1	1
Aug 2023	109	1	3
Sep 2023	68	1	0
Oct 2023	74	2	1
Nov 2023	47	1	0
Dec 2023	116	8	0
Jan 2024	74	7	3
Feb 2024	76	4	0
Mar 2024	159	1	0
Total	8985	670	725

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