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HEAL Early Intervention Toolkit: Investigating Adverse Outcomes

WHY IT MATTERS Investigating an adverse outcome quickly and thoroughly allows for earlier insight into the contributory causes. A thorough investigation should uncover what happened, and why it happened and assist in the identification of process improvement efforts that may be taken to improve outcomes. Planning for investigation processes will ensure readiness to respond in those crucial first hours and days. It will also ensure processes are centered on investigating facts, preserving evidence, and analyzing for improvement. Organizations should have a checklist for investigating adverse outcomes that includes prioritizing ongoing care, initiating a rapid investigation, completing an in-depth investigation, documenting, and protecting…

Curi’s risk mitigation resources and guidance are offered for educational and informational purposes only. This information is not medical or legal advice, does not replace independent professional judgment, does not constitute an endorsement of any kind, should not be deemed authoritative, and does not establish a standard of care in clinical settings or in courts of law. If you need legal advice, you should consult your independent/corporate counsel. We have found that using risk mitigation efforts can reduce malpractice risk; however, we do not make any guarantees that following these risk recommendations will prevent a complaint, claim, or suit from occurring, or mitigate the outcome(s) associated with any of them.

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