Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation improvement matrix

Objectives The goal of sentinel event (SE) analysis is to prevent recurrence. However, the rate of SEs has remained constant over the past years. Research suggests this is in part due to the quality of recommendations. Currently, standards for the selection of recommendations are lacking. Developing a method to grade recommendations could...

Performance variability in perioperative sentinel events: report on a nationwide data set