Table 6.
Systems to Track and Respond to Sentinel Events.
| n | % | |
|---|---|---|
| Q41: System at institution to track sentinel events (n = 518) | ||
| Voluntary reporting | 334 | 64.5 |
| Structured chart review (eg, NSQIP, ACS CSV, etc) | 274 | 52.9 |
| Automated capture through HER | 115 | 22.2 |
| Automated capture not build into HER | 27 | 5.2 |
| Unknown | 120 | 23.2 |
| Other | 15 | 2.9 |
| Q42: System at institution to respond to sentinel events (n = 518) | ||
| Morbidity and mortality conference | 299 | 57.7 |
| Root cause analysis and actions (RCA2) | 337 | 65.1 |
| Institutional investigation other than RCA2 | 162 | 31.3 |
| Peer review | 299 | 57.7 |
| None | 13 | 2.5 |
| Other | 24 | 4.6 |
| Q43: Most impactful interventions to prevent serious adverse events in otolaryngology (n = 518) | ||
| Time-outs before case | 414 | 79.9 |
| Debriefs after case | 152 | 29.3 |
| Safety checklists to ensure preventive components | 257 | 49.6 |
| Site marking | 339 | 65.4 |
| Team huddles | 161 | 31.1 |
| None | 30 | 5.8 |
| Other | 47 | 9.1 |
Abbreviations: ACS CSV, American College of Surgeons Children’s Surgery Verification; NSQIP, National Surgical Quality Improvement Program.