Informing the design of a new pragmatic registry to stimulate near miss reporting in ambulatory care.
Pfoh ER, Engineer L, Singh H, et al. Informing the Design of a New Pragmatic Registry to Stimulate Near Miss Reporting in Ambulatory Care. J Patient Saf. 2021;17(3):e121-e127. doi:10.1097/PTS.0000000000000317.
Patient safety in ambulatory care is emerging as an area of focus for safety improvement. This review discusses the importance of using near misses as a learning opportunity in outpatient care. The authors describe the design of a near miss registry to collect information on factors that contribute to errors as a way to enable learning and improvement.