Analysis and prioritization of near-miss adverse events in a radiology department.
Thornton RH, Miransky J, Killen A, et al. Analysis and prioritization of near-miss adverse events in a radiology department. AJR Am J Roentgenol. 2011;196(5):1120-4. doi:10.2214/AJR.10.5373.
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.