AHRQ Patient Safety Network

The Collection > Near Miss

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Near Miss: An event or situation that did not produce patient injury, but only because of chance... Read Full Glossary Entry >

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Safety Target

•Device-related Complications (5)

•Diagnostic Errors (2)

•Identification Errors (10)

•Discontinuities, Gaps, and Hand-Off Problems (7)

•Fatigue and Sleep Deprivation (3)

•Medication Safety (45)

•Medical Complications (7)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (12)

•Transfusion Complications (1)

•Psychological and Social Complications (3)

Origin/Sponsor

•Asia (4)

•Australia and New Zealand (1)

•Europe (8)

•North America (88)

Resource Types

•Book/Report (2)

•Journal Article (92)

•Newspaper/Magazine Article (11)

•Web Resource (1)

Error Types
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Near Miss

Approach to Improving Safety

•Quality Improvement Strategies (17)

•Legal and Policy Approaches (4)

•Error Reporting and Analysis (68)

•Communication Improvement (23)

•Human Factors Engineering (18)

•Teamwork (2)

•Specialization of Care (3)

•Logistical Approaches (10)

•Culture of Safety (12)

•Technologic Approaches (17)

•Education and Training (21)

Clinical Areas

•Allied Health Services (2)

•Medicine (74)

•Nursing (22)

•Pharmacy (14)

Target Audience

•Health Care Providers (84)

•Health Care Executives and Administrators (89)

•Non-Health Care Professionals (27)

•Patients (1)

Setting of Care

•Hospitals (67)

•Psychiatric Facilities (1)

•Residential Facilities (2)

•Ambulatory Care (11)

•Outpatient Surgery (1)

•Patient Transport (2)

1 - 20 of 106

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COMMENTARY

Strategies to increase reporting of near misses and adverse events.

Conerly C. J Nurs Care Qual. 2007;22:102-106.

STUDY

Effects of working conditions on intravenous medication errors in a Japanese hospital.

Seki Y, Yamazaki Y. J Nurs Manag. March 2006;14:128-139.

STUDY

Causes of near misses: perceptions of perioperative nurses.

Cohoon B. AORN J. 2011;93:551-565.

STUDY

Prevalence and nature of errors and near errors reported by hospital staff nurses.

Balas MC, Scott LD, Rogers AE. Appl Nurs Res. 2004;17:224-230.

COMMENTARY

A safe haven for nurses to report medication errors? Clarian and Spectrum Health Systems prove it is possible!

Paparella S. J Emerg Nurs. 2005;31:373-375.

NEWSPAPER/MAGAZINE ARTICLE

"Near injury" alters procedures at Virginia Mason.

Ostrom CM. The Seattle Times. May 21, 2005.

STUDY

The application of Aronson's taxonomy to medication errors in nursing.

Johnson M, Young H. J Nurs Care Qual. 2011;26:128-135.

STUDY

ED overcrowding is associated with an increased frequency of medication errors.

Kulstad EB, Sikka R, Sweis RT, Kelley KM, Rzechula KH. Am J Emerg Med. 2010;28:304-309.

STUDY

Analysis of risk of medical errors using structural-equation modelling: a 6-month prospective cohort study.

Tanaka M, Tanaka K, Takano T, Kato N, Watanabe M, Miyaoka H. BMJ Qual Saf. 2012;21:784-790.

NEWSPAPER/MAGAZINE ARTICLE

Following the patient journey to improve medicines management and reduce errors.

Crocker C. Nurs Times. 2009 Nov 24;105:12-15.

STUDY

Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care unit.

Grant MJ, Larsen GY. J Nurs Care Qual. 2007;22:213-221.

STUDY

Infection control hazards and near misses reported by nursing students.

Geller NF, Bakken S, Currie LM, Schnall R, Larson EL. Am J Infect Control. 2010;38:811-816.

STUDY

Frequency and type of errors and near errors reported by critical care nurses.

Balas MC, Scott LD, Rogers AE. Can J Nurs Res. 2006;38:24-41.

STUDY

A model of recovering medical errors in the coronary care unit.

Hurley AC, Rothschild JM, Moore ML, Snydeman C, Dykes PC, Fotakis S. Heart Lung. 2008;37:219-226.

STUDY

Using snowball sampling method with nurses to understand medication administration errors.

Sheu SJ, Wei IL, Chen CH, Yu S, Tang FI. J Clin Nurs. 2009;18:559-569.

COMMENTARY

ISMP medication error report analysis.

Smetzer JL, Cohen MR. Hosp Pharm. 2008;43:869-872.

STUDY

From the school of nursing quality and safety officer: nursing students' use of safety reporting tools and their perception of safety issues in clinical settings.

Cooper E. J Prof Nurs. 2013;29:109-116.

STUDY

Effects of critical care nurses' work hours on vigilance and patients' safety.

Scott LD, Rogers AE, Hwang WT, Zhang Y. Am J Crit Care. 2006;15:30-37.

COMMENTARY

Patient Mix-Up.

Shojania KG. AHRQ WebM&M [serial online]. February 2003.

STUDY

Reporting of hazards and near-misses in the ambulatory care setting.

Schnall R, Bakken S. J Nurs Care Qual. 2011;26:328-334.

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