A near miss event (NME) in healthcare is an event that did not happen but would have caused serious harm if it did. The operating room (OR) is prone to risk and incidents, with estimates that 50% of all hospital adverse events occur in the OR, yet reporting of NME is uncommon in ...
Health care organizations and governments have increasingly recognized the value of close calls-also known by an often-used synonym, near misses-for improving patient safety. These incidents-defined as unplanned events caused by errors that do not result in patient injury but have the potential to ...
Medical error is a prominent public issue today. Surgeons, for many decades, have conducted regular and meaningful reviews of most untoward events, which deserve improvement. "Near-miss" is a useful focus for such a conference, in that it avoids a focus on ultimate personal guilt and minimizes...
Rationale for a Long-term Evaluation of the Consequences of Potentially Life-threatening Maternal Conditions and Maternal "Near-miss" Incidents Using a Mul... Recent advances in health care mean that women survive severe conditions and events related to pregnancy that would previously have resulted in...
Surgeons, for many decades, have conducted regular and meaningful reviews of most untoward events, which deserve improvement. "Near-miss" is a useful focus for such a conference, in that it avoids a focus on ultimate personal guilt and minimizes exposure to litigation (ie, a nonevent).关键词...
In 2007, Blue Mountain Health System committed to becoming a high-reliability organization and focused on high-risk processes such as medication management, including BCMA. Thereafter, the Authority recognized a pattern of BCMA workflow-related near-miss events reported by the health sy...
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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...
Patient Safety, Adverse Healthcare Events and Near-Misses in Obstetric Care —A Systematic Literature Review Systematic development of a patient safety culture is necessary because lack of quality care leads to human suffering. The aim of this review was to identi... E Severinsson,M Haruna,M R...
Incidence of death and potentially life‐threatening near‐miss events in living donor hepatic lobectomy: A world‐wide survey Incidence of death and potentially life-threatening near-miss events in living donor hepatic lobectomy: a world-wide survey. Liver Transpl. 2013; 19 :499... YL Cheah,MA...