Near miss: Almost error or potential adverse event?

Near miss: almost error or potential adverse event?

Adverse 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...

Building a learning culture and prevention of error – to near miss or not

This editorial provides an insight into learning and prevention of error through near miss event reporting.

How Near-Miss Events Amplify or Attenuate Risky Decision Making

I n the aftermath of many natural and man-made disasters, people often wonder why those affected were underprepared, especially when the disaster was the result of known or regularly occurring hazards (e.g., hurricanes). We study one contributing factor: prior near-miss experiences. Near misses are events that have some nontrivial expectation of ending in disaster but, by chance, do not. We dem...

Crime Scene or Event Scene?

This article has not an abstract