Failure to detect or act to prevent deterioration of the patient whose condition is amenable to treatment is still an area of harm that occurs in a wide range of acute clinical settings and is seen in adults and children. This report focuses on adult patients, the current pattern of harm and its causes to help improve future efforts in this area.
- past national initiatives
- key guidance and literature
- root cause analyses
- National Reporting and Learning System (NRLS) data