Surgical safety does not happen by accident: learning from perioperative near miss case studies.

Christopher H Stucky; J. Michael Hartmann; Young J Yauger; Kenneth J Romito; David F Bradley; Gaston Baza; Megan E Lorenz; Sherita L House; Rebeccah A Dindinger; Joshua A Wymer; Melissa J Miller; Albert R Knight

Commentary

Surgical safety does not happen by accident: learning from perioperative near miss case studies.

January 24, 2024

Stucky CH, Michael Hartmann J, Yauger YJ, et al. J Perianesth Nurs. 2024;39(1):10-15.

View more articles from the same authors.

Near misses (or close calls) are often underreported but can offer unique opportunities for organizational learning. In this article, the authors present 15 perioperative near-miss events (e.g., medication administration errors, wrong-site surgery, allergies), describe the contributing factors, and discuss approaches to improve incident reporting among perioperative care team members.

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See More About The Topic

Outpatient Surgery

Operating Room

Medical/Surgical Nursing

Anesthesia Nursing

Surgical Complications

Surgical safety does not happen by accident: learning from perioperative near miss case studies.

Retained Surgical Items: Definition and Epidemiology.

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