Reporting and using near-miss events to improve patient safety in diverse primary care practices: a collaborative approach to learning from our mistakes.
Crane S, Sloane PD, Elder N, et al. J Am Board Fam Med. 2015;28:452-460.
This study describes the successful implementation of a Web-based reporting system for near-miss events in primary care practices. The most prevalent reports were breakdowns in office processes, with varying risk for adverse events, as found in prior studies of incident reporting. Although near-miss reporting can stimulate improvement efforts, it is not a precise method for detecting safety problems.
Preventing fatal errors.
Bailey B, Sevrens Lyons J. The Mercury News. November 27, 2005.
USP initiatives for the safe use of medical gases.
Zaidi K, Curry PD Jr, Becker SC. Pharmaceutical Technology. November 2, 2005;29:102-103.
Technological methods used to prevent errors aren't infallible.
Santell JP. Mater Manage Health Care. December 19, 2006;15:26-28, 30.
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New patient safety panel ready to focus on hospitals' reports of 'near misses.'
Freeman L. Naples Daily News. January 13, 2007.