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Jeffs L, Rose D, Macrae C, Maione M, Macmillan KM. J Psychiatr Ment Health Nurs. 2012;19:430-437.
Jeffs L ; Rose D; et al. What near misses tell us about risk and safety in mental health care. J Psychiatr Ment Health Nurs. 2012; 19: 430-437
This qualitative study describes near misses in the mental health sector to illustrate vulnerabilities that may require targeted prevention strategies.
Promote a culture of safety with good catch reports.
Wallace SC, Mamrol C, Finley E. PA-PSRS Patient Saf Advis. September 2017;14.
Informing the design of a new pragmatic registry to stimulate near miss reporting in ambulatory care.
Pfoh ER, Engineer L, Singh H, Hall LL, Fried ED, Berger Z, Wu AW. J Patient Saf. 2017 Feb 28; [Epub ahead of print].
The well-defined pediatric ICU: active surveillance using nonmedical personnel to capture less serious safety events.
White WA, Kennedy K, Belgum HS, Payne NR, Kurachek S. Jt Comm J Qual Patient Saf. 2015;41:550-562.
Safety culture includes "good catches."
Traynor K. Am J Health Syst Pharm. 2015;72:1597-1599.
Evaluation of near-miss wrong-patient events in radiology reports.
Sadigh G, Loehfelm T, Applegate KE, Tridandapani S. AJR Am J Roentgenol. 2015;205:337-343.
Reporting and using near-miss events to improve patient safety in diverse primary care practices: a collaborative approach to learning from our mistakes.
Crane S, Sloane PD, Elder N, et al. J Am Board Fam Med. 2015;28:452-460.
Characterising 'near miss' events in complex laparoscopic surgery through video analysis.
Bonrath EM, Gordon LE, Grantcharov TP. BMJ Qual Saf. 2015;24:516-521.
Near-miss transcription errors: a comparison of reporting rates between a novel error-reporting mechanism and a current formal reporting system.
South DA, Skelley JW, Dang M, Woolley T. Hosp Pharm. 2015;50:118-124.
Patient- and family-centered care: error disclosure and investigation.
Connor M, Wayman KI, Garcia C, Fischer PR; Consortium for Maximizing Family-Centered Care. Patient Saf Qual Healthc. September/October 2014;11:36,38-40,42.
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.
Barriers to the reporting of medication administration errors and near misses: an interview study of nurses at a psychiatric hospital.
Haw C, Stubbs J, Dickens GL. J Psychiatr Ment Health Nurs. 2014;21:797-805.
Uptake of quality-related event standards of practice by community pharmacies.
Boyle TA, Bishop AC, Overmars C, et al. J Pharm Pract. 2015;28:442-449.
"That was a close call": endorsing a broad definition of near misses in health care.
Marks CM, Kasda E, Paine L, Wu AW. Jt Comm J Qual Patient Saf. 2013;39:475-479.
National survey on the effect of oncology drug shortages on cancer care.
McBride A, Holle LM, Westendorf C, et al. Am J Health Syst Pharm. 2013;70:609-617.
Patient safety tool helps ID hospital errors.
Clark C. HealthLeaders Media. December 2012.
Disclosure of "nonharmful" medical errors and other events: duty to disclose.
Chamberlain CJ, Koniaris LG, Wu AW, Pawlik TM. Arch Surg. 2012;147:282-286.
He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identification practices.
Phipps E, Turkel M, Mackenzie ER, Urrea C. Jt Comm J Qual Patient Saf. 2012;38:127-134.
Learning from near misses: from quick fixes to closing off the Swiss-cheese holes.
Jeffs L, Berta W, Lingard L, Baker GR. BMJ Qual Saf. 2012;21:287-294.
Catching and correcting near misses: the collective vigilance and individual accountability trade-off.
Jeffs LP, Lingard L, Berta W, Baker GR. J Interprof Care. 2012;26:121-126.
Identification by families of pediatric adverse events and near misses overlooked by health care providers.
Daniels JP, Hunc K, Cochrane D, et al. CMAJ. 2012;184:29-34.
Chemotherapeutic errors in hospitalised cancer patients: attributable damage and extra costs.
Ranchon F, Salles G, Späth HM, et al. BMC Cancer. 2011;11:478.
Prevention of medical accidents caused by defective surgical instruments.
Yasuhara H, Fukatsu K, Komatsu T, Obayashi T, Saito Y, Uetera Y. Surgery. 2012;151:153-161.
Washington Hospital Center safety program seeks to catch 'near-misses.'
Sun LH. Washington Post. August 2, 2011.
Safety strategies in an academic radiation oncology department and recommendations for action.
Terezakis SA, Pronovost P, Harris K, Deweese T, Ford E. Jt Comm J Qual Patient Saf. 2011;37:291-299.
The Value of Close Calls in Improving Patient Safety.
Wu AW, ed. Oakbrook Terrace, IL: Joint Commission Resources; 2011. ISBN: 9781599404158.
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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