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Kessels-Habraken M, Van der Schaaf T, De Jonge J, Rutte C. Soc Sci Med. 2010;70:1301-1308.
Kessels-Habraken M ; Van der Schaaf T ; De Jonge J; et al. Defining near misses: towards a sharpened definition based on empirical data about error handling processes. Soc Sci Med. 2010; 70: 1301-1308
This study describes two suggested definitions of near misses and highlights how their application in incident reporting systems could result in more near misses being reported, greater prevention of errors causing harm, and improved safety culture.
To what extent are adverse events found in patient records reported by patients and healthcare professionals via complaints, claims and incident reports?
Christiaans-Dingelhoff I, Smits M, Zwaan L, Lubberding S, van der Wal G, Wagner C. BMC Health Serv Res. 2011;11:49.
Patient safety in primary care has many aspects: an interview study in primary care doctors and nurses.
Gaal S, van Laarhoven E, Wolters R, Wetzels R, Verstappen W, Wensing M. J Eval Clin Pract. 2010;16:639-643.
Computerization can create safety hazards: a bar-coding near miss.
McDonald CJ. Ann Intern Med. 2006;144:510-516.
Aviation and healthcare: a comparative review with implications for patient safety.
Kapur N, Parand A, Soukup T, Reader T, Sevdalis N. JRSM Open. 2015;7:2054270415616548.
Peer review of medical practices: missed opportunities to learn.
Kadar N. Am J Obst Gynecol. 2014;211:596-601.
Lost in translation? Addressing barriers in the application of industrial process improvement methodologies to health care.
Gray D, Johnson KD, Watts B. Jt Comm J Qual Patient Saf. 2014;40:514-521.
On the CUSP: Stop BSI: evaluating the relationship between central line–associated bloodstream infection rate and patient safety climate profile.
Weaver SJ, Weeks K, Pham JC, Pronovost PJ. Am J Infect Control. 2014;42(suppl 10):S203-S208.
A cross-sectional analysis investigating organizational factors that influence near-miss error reporting among hospital pharmacists.
Patterson ME, Pace HA. J Patient Saf. 2016;12:114-117.
Perceived patient safety culture in a critical care transport program.
Erler C, Edwards NE, Ritchey S, Pesut DJ, Sands L, Wu J. Air Med J. 2013;32:208-215.
Developing a reporting and tracking tool for nursing student errors and near misses.
Disch J, Barnsteiner J. J Nurs Regul. 2014;5:4-10.
What is learning? A review of the safety literature to define learning from incidents, accidents and disasters.
Drupsteen L, Guldenmund FW. J Contingencies Crisis Manage. 2014;22:281-296.
Does the concept of safety culture help or hinder systems thinking in safety?
Reiman T, Rollenhagen C. Accid Anal Prev. 2014;68:5-15.
'Not another safety culture survey': using the Canadian patient safety climate survey (Can-PSCS) to measure provider perceptions of PSC across health settings.
Ginsburg LR, Tregunno D, Norton PG, Mitchell JI, Howley H. BMJ Qual Saf. 2014;23:162-170.
Patient safety in clinical research articles.
Vintzileos AM, Finamore PS, Sicuranza GB, Ananth CV. Int J Gynaecol Obstet. 2013;123:93-95.
Clinical relevance of and risk factors associated with medication administration time errors.
Teunissen R, Bos J, Pot H, Pluim M, Ramers C. Am J Health Syst Pharm. 2013;70:1052-1056.
Impact of a team and leaders-directed strategy to improve nurses' adherence to hand hygiene guidelines: a cluster randomised trial.
Huis A, Schoonhoven L, Grol R, Donders R, Hulscher M, van Achterberg T. Int J Nurs Stud. 2013;50:464-474.
From the school of nursing quality and safety officer: nursing students' use of safety reporting tools and their perception of safety issues in clinical settings.
Cooper E. J Prof Nurs. 2013;29:109-116.
Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists.
Bauer P, Hoffmann RG, Bragg D, Scanlon MC. Safety Sci. 2013;53:160-167.
The role of patient safety culture in the causation of unintended events in hospitals.
Smits M, Wagner C, Spreeuwenberg P, Timmermans DRM, van der Wal G, Groenewegen PP. J Clin Nurs. 2012;21:3392-3401.
Safety climate and medical errors in 62 US emergency departments.
Camargo CA Jr, Tsai CL, Sullivan AF, et al. Ann Emerg Med. 2012;60:555-563.e20.
Are health professionals' perceptions of patient safety related to figures on safety incidents?
Martijn L, Harmsen M, Gaal S, Mettes D, van Dulmen S, Wensing M. J Eval Clin Pract. 2013;19:944-947.
Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project.
Fore AM, Sculli GL, Albee D, Neily J. J Nurs Manag. 2013;21:106-111.
Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus group study.
Hartnell N, MacKinnon N, Sketris I, Fleming M. BMJ Qual Saf. 2012;21:361-368.
Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery.
Mattioli G, Guida E, Montobbio G, et al. Pediatr Surg Int. 2012;28:405-410.
Patient safety answers require outreach, in-reach, and partnerships.
Burt HA. J Hosp Librariansh. 2011;11:366-378.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
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