3. Definition
3.1 unpleasant event (Adverse Event) refers to events in hospitals which do not expect not desirable. Or a
3 danger.2 events almost missed (Near Miss) refers to events that have any variance In the process, which does not affect the results. But if repeated are likely to be severe adverse results.The "missed" included in the scope of the definition of adverse event (unpleasant event). The event to analyze strictly is 1,
. The reaction from a blood transfusion or blood components
2.Severe adverse drug 3.
4, medication errors. The diagnosis before surgery or error diagnosis before and after surgery do not match
5.Adverse events from the anesthetic level and deep level. The pestilence 6
.
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