Conduct research to identify a real-life adverse event that has occurred in a healthcare environment in the last five years. Provide an overview of the adverse event you selected and explain the outcome and impact the event had on the patient, healthcare professional(s) involved, and the healthcare organization. What actions could healthcare administrators take to reduce the reoccurrence of the event you described?

Examples of adverse events include, but are not limited it:

Surgical events - wrong patient, wrong site, wrong procedure, retained foreign body

Product/device related - contaminated products, air embolism

Patient protection events - patient elopement, suicide

Care management issues - medication errors, mismatched blood transfusion

Environmental factors - burn, electric shock, wrong gas

Criminal events - sexual assault, impersonation, physical assault