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Analysis and prioritization of near-miss adverse events in a radiology department.
Thornton RH, Miransky J, Killen AR, Solomon SB, Brody LA. AJR Am J Roentgenol. 2011;196:1120-1124.

This study developed a scoring system and a systematic approach to identify learning opportunities from near miss adverse events. Electronic order entry errors posed the greatest threat, suggesting vulnerability at the human–technology interface.
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