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PSNet: Patient Safety Network
Journal Article
Review

Near-misses are an opportunity to improve patient safety: adapting strategies of high reliability organizations to healthcare.

Van Spall H, Kassam A, Tollefson TT. Current opinion in otolaryngology & head and neck surgery. 2015;23:292-6.

Near misses, also referred to as close calls, are an underutilized safety improvement resource due to lack of reporting and a clear definition. Using aviation as a high reliability model, this review outlines strategies to augment reporting and analysis of near misses in health care.