Related Experiment Video
Updated: May 24, 2026

Setup and Execution Of the Blindfolded Code Training Exercise
Published on: March 29, 2019
Leading a highly visible hospital through a serious reportable event
1Massachusetts General Hospital, Boston, MA 02114, USA. jiveserickson@partners.org
Abstract:
Most preventable adverse events result from systemic causes, not human error. The senior vice president for patient care/chief nurse at a leading hospital recounts the unnecessary death of a patient and the investigation that followed. Citing the critical importance of a "just culture," this case study offers a blueprint for managing a serious reportable event.
Related Concept Videos
Types of Reports II: Incident or Occurrence Report
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Introduction to Documentation and Reporting
Nursing documentation records essential information and details regarding a patient's care and treatment in written or electronic form. It is a critical aspect of nursing practice that involves documenting assessments, interventions, outcomes, and other relevant details about a patient's health status.
Documentation maps the patient's health journey by creating a comprehensive and precise...
Hospitals-II
Nurses that work in hospitals have...
Ethical Dilemmas II
Types of Reports I: Hand-off Report
Following are the key components and categories of hand-off reports:
Purpose and Process:
Types of Reports III: Telephone and Verbal Reports
Here's an overview of each type:
Telephone Orders
