In this section :

  • Hospital harm is everyone’s concern
    • Hospital Harm Improvement Resource
      • How to Use the Hospital Harm Measure for Improvement
      • Learning from Harm
      • General Patient Safety Quality Improvement and Measurement Resources
      • Hypoglycemia: Introduction
      • Aspiration Pneumonia: Introduction
      • Delirium: Introduction
      • Infusion, Transfusion and Injection Complications: Introduction
      • Medication Incidents: Introduction
      • Obstetric Hemorrhage: Introduction
      • Patient Trauma: Introduction
      • Pneumonia: Introduction
      • Pneumothorax: Introduction
      • Post Procedural Infections: Introduction
      • Pressure Ulcer: Introduction
      • Sepsis: Introduction
      • UTI: Introduction
      • Venous Thromboembolism: Introduction
      • Wound Disruption: Introduction
      • Obstetric Trauma: Introduction
      • Procedure-Associated Shock: Introduction
      • Selected Serious Events: Introduction
      • Electrolyte and Fluid Imbalance: Introduction
      • Anemia – Hemorrhage (Health Care / Medication Associated Condition): Introduction
      • Anemia – Hemorrhage (Procedure-Associated Conditions): Introduction
      • Birth Trauma: Introduction
      • Device Failure: Introduction
      • Infections due to Clostridium difficile, MRSA or VRE: Introduction
      • Laceration: Introduction
      • Retained Foreign Body: Introduction
      • Viral Gastroenteritis: Introduction
      • Hospital Harm Figure 1 Transcript

Laceration: Clinical and System Review Incident Analyses

​Given the broad range of potential causes of laceration/puncture, clinical and system reviews should be conducted to identify potential causes and determine appropriate recommendations.

Occurrences of harm are often complex with many contributing factors. Organizations need to:

  1. Measure and monitor the types and frequency of these occurrences.
  2. Use appropriate analytical methods to understand the contributing factors.
  3. Identify and implement solutions or interventions that are designed to prevent recurrence and reduce risk of harm.
  4. Have mechanisms in place to mitigate consequences of harm when it occurs.

To develop a more in-depth understanding of the care delivered to patients, chart audits, incident analyses and prospective analyses can be helpful in identifying quality improvement opportunities. Links to key resources for conducting chart audits and analysis methods are included in the Hospital Harm Improvement Resources Introduction.

If your review reveals that your cases of laceration-puncture are linked to specific processes or procedures, you may find these resources helpful:

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Laceration

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Laceration

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