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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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•Device-related Complications (3)
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NEWSPAPER/MAGAZINE ARTICLE
A long way to go.
DerGurahian J. Mod Healthc. December 7, 2009.
NEWSPAPER/MAGAZINE ARTICLE
New patient safety panel ready to focus on hospitals' reports of 'near misses.'
Freeman L. Naples Daily News. January 13, 2007.
STUDY
Safety climate and medical errors in 62 US emergency departments.
Camargo CA Jr, Tsai CL, Sullivan AF, et al. Ann Emerg Med. 2012;60:555-563.e20.
BOOK/REPORT
A safer place for patients: learning to improve patient safety.
Fifty-first Report of Session 2005-06. House of Commons Committee on Public Accounts. London, England: The Stationary Office; July 6, 2006. Publication HC 831.
STUDY
Stopping the error cascade: a report on ameliorators from the ASIPS collaborative.
Parnes B, Fernald D, Quintela J, et al. Qual Saf Health Care. 2007;16:12-16.
STUDY
Harmful medication errors involving unfractionated and low-molecular-weight heparin in three patient safety reporting programs.
Grissinger MC, Hicks RW, Keroack MA, Marella WM, Vaida A. Jt Comm J Qual Patient Saf. 2010;36:195-202.
STUDY
The relationship between organizational leadership for safety and learning from patient safety events.
Ginsburg LR, Chuang YT, Berta WB, et al. Health Serv Res. 2010;45:607-632.
COMMENTARYclassic
Computerization can create safety hazards: a bar-coding near miss.
McDonald CJ. Ann Intern Med. 2006;144:510-516.
STUDY
Chemotherapeutic errors in hospitalised cancer patients: attributable damage and extra costs.
Ranchon F, Salles G, Späth HM, et al. BMC Cancer. 2011;11:478.
SPECIAL OR THEME ISSUE
Journal of Quality Improvement in Healthcare, Second Edition.
Heilman J, ed. Albuquerque, NM: University of New Mexico; May 2013.
NEWSPAPER/MAGAZINE ARTICLE
The near miss.
Clark C. HealthLeaders Media. December 2012.
NEWSPAPER/MAGAZINE ARTICLE
Should you reveal nonharmful mistakes to patients?
Yasgur BS. Medscape Business of Medicine. December 6, 2012.
STUDY
Catching and correcting near misses: the collective vigilance and individual accountability trade-off.
Jeffs LP, Lingard L, Berta W, Baker GR. J Interprof Care. 2012;26:121-126.
STUDY
National survey on the effect of oncology drug shortages on cancer care.
McBride A, Holle LM, Westendorf C, et al. Am J Health Syst Pharm. 2013;70:609-617.
STUDY
Teaching but not learning: how medical residency programs handle errors.
Hoff TJ, Pohl H, Bartfield J. J Org Behav. 2006;27:869-896.
STUDY
Reevaluating recovery: perceived violations and preemptive interventions on emergency psychiatry rounds.
Cohen T, Blatter B, Almeida C, Patel VL. J Am Med Inform Assoc. 2007;14:312-319.
STUDY
What near misses tell us about risk and safety in mental health care.
Jeffs L, Rose D, Macrae C, Maione M, Macmillan KM. J Psychiatr Ment Health Nurs. 2012;19:430-437.
COMMENTARY
Wrong Route for Nutrients
Scott-Cawiezell JR, AHRQ WebM&M [serial online]. July 2008.
COMMENTARY
Mark My Limb.
O'Leary DS, Jacott WE. AHRQ WebM&M [serial online]. December 2004.
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