2.41%–8.96%), 8 near misses (4% incident rate; 95% CI 1.73%–7.69%) and no

2000;320;759-763. BMJ. Paul Barach and Stephen D Small systems lessons

Agency for Healthcare Research and Quality www.ahrq.gov · AHRQ Patient

May 3, 2011 . Because if we're not counting near misses, we're not systematically learning what

Oct 4, 2010 . Analysis of near-misses enables organizations to work proactively to prevent

Learning from near misses in an effort to promote patient safety - Patient Safety .

Near miss. Error handling. Incident reporting. Medical error. a b s t r a c t. Medical

Dec 26, 2009 . Stopping Medical Mistakes Ahead of Time. 'Near Miss' Registry Saving Patients.

Jul 8, 2010 . [5] With so much insight to offer, the study of near misses is a critical strategy

If the lessons learned in other industries apply to health care, the best way to

Information about near miss in the free online English dictionary and . thesaurus

Maternal deaths and near-miss cases were retrospectively identified by

error, breaches in defensive barriers, near misses, and adverse events appears

Jun 8, 2010 . You\'ve all seen the headlines: patient had the wrong surgery performed, patient\'

Healthcare. AORN, a US-based professional organization of perioperative

Near miss reporting in healthcare organizations can be examined using an .

Aug 17, 2011 . Healthcare Quarterly, 14(3) 2011: 48-56. Patient Safety. Attitudes and Behaviours

Sep 8, 2011 . There were almost 2000 near miss, incidents and security events at Our Lady's

Organizational Learning From Near Misses in Health Care . How clinicians

Aug 19, 2011 . how near misses are experienced in mental health care. What we know about

Medical errors originating in health care facilities are a significant source of .

Sep 24, 2009 . Yet, this is closer to how a near miss is defined by some state reporting programs

Mar 19, 2009 . Maternal near miss--towards a standard tool for monitoring quality of maternal

McKesson - Empowering Healthcare . communication is the most common

Near Misses. From: The Hospitalist, May 2006. A call to arms on close calls in the

May 27, 2010 . Elimination of Near Misses in Newborn Prophylaxis . . the Most Promising

A maternal near miss (MNM) is an event in which a pregnant woman comes .

May 28, 2010 . United States Department of Health and Human Services Agency for Healthcare

ance to thousands of healthcare organizations that voluntarily contact us about

Feb 22, 2012 . healthcare use near misses as learning opportunities remains poorly understood.

May 26, 2010 . In healthcare settings, a near-miss event is a situation that has the potential to

Raising a Red Flag: Reporting Near Misses in Health Care. 45% of 1236K

Jan 1, 2009 . This interactive tutorial focuses on near miss error reporting in the healthcare

Patient Safety and Quality Healthcare, September / October 2007. Why Worry

Motivation of health care systems. – Perception and recognition by registered

Mar 18, 2000. and the internet, for citations by keywords: incidents, accidents, human errors,

Mar 25, 2010 . Though staff members are often trained to report a potential medical error, or

Nov 13, 2007 . More than 4700 medical residents will volunteer to report their "near-miss" events

The criteria currently used to identify a near miss vary greatly. However, areas

Effective event reporting is a pivotal step in reducing medical error. Only by

available about any problems, and the more action can be taken to make

Exploring the connection between tracking near misses, organizational learning

Feb 28, 2011 . [Adverse events and near misses in medical imaging]. [Article in Portuguese].

Apr 8, 2009 . The patient who wants a flu shot doesn't say he's allergic to eggs, and the first

May 5, 2009 . Calling out the near miss. A story posted by Margaret Bernier, in our Health Care

York State Near Miss Registry Project. Newsletter. The Near Miss Registry is an

Near miss is a term and concept everyone working in healthcare innately .

The reporting of medical errors or near misses within a healthcare organization is

determination of global norms, standards and guidelines for the definition,

Outline OTHER STUDIES IN NEAR MISSESREFERENCESIN hospitals and

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