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Missing the near miss: recognizing valuable learning opportunities in radiation oncology.

Kundu P, Jung OS, Valle LF, et al. Missing the near miss: recognizing valuable learning opportunities in radiation oncology. Pract Radiat Oncol. Epub 2020 Sept 25. doi: 10.1016/j.prro.2020.09.007.

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December 16, 2020
Kundu P, Jung OS, Valle LF, et al. Pract Radiat Oncol. 2021;11(3):e256-e262.

Underreporting of ‘near misses’ can impede efforts to improve healthcare quality and patient safety. Based on hypothetical scenarios involving a patient with a cardiac pacemaker undergoing radiation treatment, this study surveyed healthcare staff about their evaluation of the events and their willingness to report based on their evaluation of the hypothetical scenarios. Findings suggest that cognitive biases can influence willingness to report based on how near miss events are perceived.  

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Kundu P, Jung OS, Valle LF, et al. Missing the near miss: recognizing valuable learning opportunities in radiation oncology. Pract Radiat Oncol. Epub 2020 Sept 25. doi: 10.1016/j.prro.2020.09.007.