Journal Article
Study

Are we missing the near misses in the OR? Underreporting of safety incidents in pediatric surgery.

Hamilton EC, Pham DH, Minzenmayer AN, et al. The Journal of surgical research. 2018;221:336-342.

This study compared direct observation to voluntary reporting for identification of errors and near misses in pediatric surgery. As with prior studies, the team observed underreporting of adverse events and near misses. The authors advocate for systems approaches to enhance reporting.