Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery.

Girolamo Mattioli; Edoardo Guida; Giovanni Montobbio; Alessio Pini Prato; Marcello Carlucci; Armando Cama; Silvio Boero; Maria Beatrice Michelis; Elio Castagnola; Ubaldo Rosati; Vincenzo Jasonni

Study

Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery.

May 9, 2012

Mattioli G, Guida E, Montobbio G, et al. Pediatr Surg Int. 2012;28(4):405-10.

View more articles from the same authors.

Analysis of data from a voluntary incident reporting system found that very few near misses were officially reported.

PubMed citation

Available at

Related Resources From the Same Author(s)

Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration process.

March 8, 2023

COVID-19 hospital outbreaks: protecting healthcare workers to protect frail patients. An Italian observational cohort study.

February 3, 2021

Patient safety in complementary medicine through the application of clinical risk management in the public health system.

January 24, 2018

Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital.

July 1, 2009

The burden of peri-operative work at night as perceived by anaesthesiologists: an international survey.

June 28, 2023

From COVID-19 pandemic to patient safety: a new "spring" for telemedicine or a boomerang effect?

July 27, 2022

Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis.

July 7, 2021

Effect of delays in the 2-week-wait cancer referral pathway during the COVID-19 pandemic on cancer survival in the UK: a modelling study.

August 19, 2020

Evidence of bias and variation in diagnostic accuracy studies.

February 14, 2006

How to scale up quality and safety program with the home care accreditation.

April 13, 2022

Related Resources

Impact of a daily huddle on safety in perioperative services.

July 31, 2024

Learning from experience: a qualitative study of surgeons' perspectives on reporting and dealing with serious adverse events.

June 28, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Development and interrater agreement of a novel classification system combining medical and surgical adverse event reporting.

April 19, 2023

Trial and error: learning from malpractice claims in childhood surgery.

August 24, 2022

Surgical safety checklists in children's surgery: surgeons' attitudes and review of the literature.

February 6, 2019

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

April 11, 2018

Safer paediatric surgical teams: a 5-year evaluation of crew resource management implementation and outcomes.

December 18, 2017

Evaluation of an anonymous system to report medical errors in pediatric inpatients.

October 4, 2011

Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals?

December 22, 2010

See More About The Topic

Operating Room

Children's Hospitals

Risk Managers

Quality and Safety Professionals

Pediatrics

Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site

Submit Your Training

Continue as a Guest

Continue Logged In

Submit Your Training

Continue as a Guest

Continue Logged In

New Users to the PSNet site

Submit Your Toolkit

Continue as a Guest

Continue Logged In

Submit Your Toolkit

Continue as a Guest

Continue Logged In

New Users to the PSNet site

Submit Your WebM&M Case

Continue as a Guest

Continue Logged In

Submit Your WebM&M Case

Continue as a Guest

Already have a PSNet

Account?

New Users