Therefore, theories and practices on error management, organizational learning, and safety culture have been reviewed to investigate their significances to Near Miss Management in the healthcare setting. This research focuses on the study of a patient safety project which aims at promoting Near Miss ...
Prognostic factors of maternal near miss events and maternal deaths in a tertiary healthcare facility in India. Int J Gynaecol Obstet 2017; 138: 171-176.Khan T, Laul P, Laul A, et al. Prognostic factors of maternal near miss events and maternal deaths in a tertiary healthcare facility in...
Root cause analysis is a technique used in determining the real cause of an event. The Sentinel Event Policy of the Joint Commission on Accreditation of Healthcare Organizations requires a root cause analysis of a sentinel event but not a "near miss." However, root cause analysis is an import...
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Event (error and near-miss) reporting and learning system for process improvement in radiation oncology PURPOSE: The value of near-miss and error reporting processes in many industries is well appreciated and typically can be supported with data that have bee......
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We next used PCR analyses of theCENPEgenomic locus and identified the site of the deletion event (Figures S4D and S4E). Sanger sequencing confirmed a ∼300-kb deletion of genomic DNA that led to a fusion between intronic regions inUBE2D3andCENPEgenes (Figures 4B and 4C). The deletion...
in the file. For our purposes we want to run the classification rules so that properties will show that weren’t there before. Also, if you have rules that use look at the content of the file you’ll want to have those run in the event that phrases you are looking for are added t...
Blameless doesn’t mean inaccurate; but it means placing the focus on the process and system, not on the particular actor that happened to be wearing the hat at the time a particular event happened. Sometimes the system is defined by the actors, and in that case – well, I’ll let you...