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PSNet: Patient Safety Network
Journal Article

Analysis and prioritization of near-miss adverse events in a radiology department.

Thornton RH, Miransky J, Killen AR, et al. AJR. American journal of roentgenology. 2011;196:1120-4.

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.