Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery.
Mattioli G, Guida E, Montobbio G, et al. Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery. Pediatr Surg Int. 2012;28(4):405-10. doi:10.1007/s00383-011-3047-5.
Analysis of data from a voluntary incident reporting system found that very few near misses were officially reported.