Reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems
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چکیده
منابع مشابه
Reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems.
Reducing mishaps from medical management is central to efforts to improve quality and lower costs in health care. Nearly 100 000 patients are estimated to die preventable deaths annually in hospitals in the United States, with many more incurring injuries at an annual cost of $9 billion. Underreporting of adverse events is estimated to range from 50%–96% annually. This annual toll exceeds the c...
متن کاملAdverse events and near miss reporting in the NHS.
OBJECTIVES To conduct a multicentre study on adverse event and near miss reporting in the NHS and to explore the feasibility of creating a national system for collecting these data. DESIGN Prospective voluntary reporting by staff with anonymised transfer of data was used by a national system to collect data from 18 NHS trusts. PARTICIPANTS Staff from 12 acute trusts, three mental health tru...
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To the Editor: Crone et al. (1 ) present a case study with much of their discussion about aspects of reporting suspected medical errors, particularly when there is a possibility of misconduct or violation of rules. Marx (2 ), who described a useful taxonomy of medical errors, recommends that no blame be given except for certain situations, one of which can be summarized as “failure to report sa...
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Dear Editor, Publishing medical research is a booming business. Every month around 73,000 new articles are indexed in PubMed [1]. Unfortunately, the quality of reporting remains insufficient in some cases, in some aspects, to some extent [2]. Poor-quality reporting is problematic because it encumbers critical appraisal of studies, limits reproducibility, and thus may indirectly negatively affec...
متن کاملNear - Miss Reporting A Missing Link in Safety Culture
Near-miss reporting, or the lack of it, is a controversial indicator of an organization’s safety culture. Over the years, SH&E professionals have heard concerns about the statistical validity of the many ratios published in the literature. The term itself has been widely debated—should these incidents be called near-misses, close calls, nearhits or something else? This article uses the term nea...
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ژورنال
عنوان ژورنال: BMJ
سال: 2000
ISSN: 0959-8138
DOI: 10.1136/bmj.320.7237.759