Journal Article
Study

Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot project to analyse transfusion-related near-miss events in the Republic of Ireland.

Lundy D; Laspina S; Kaplan H; Rabin Fastman B; Lawlor E.

The researchers analyzed transfusion-related near-miss data and found that near misses occur more frequently than adverse events causing harm. They conclude that near-miss data are a useful tool for identifying human and system failures and targeting improvements.