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Systematic Risk Analysis and Mitigation Strategies for Near-Miss Events in Interventional Operating Room Nursing.
Risk Manag Healthc Policy
January 2025
Department of Nursing, Affiliated Hospital 2 of Nantong University, Nantong, 226001, People's Republic of China.
Purpose: The aim of this study is to examine the characteristics of intraoperative nursing near-miss events in interventional operating rooms, systematically identify and analyze associated risks, and propose effective mitigation strategies.
Patients And Methods: A retrospective study was conducted using a specially designed survey focused on nursing near-miss events in Interventional operating rooms. Records of intraoperative near-miss events voluntarily reported by medical and nursing staff between January 2023 and March 2024 were analyzed.
Real-time risk estimation for active road safety: Leveraging Waymo AV sensor data with hierarchical Bayesian extreme value models.
Accid Anal Prev
March 2025
Zachry Department of Civil & Environmental Engineering, Texas A&M University, College Station, TX 77843, USA.
Near-miss traffic risk estimation using Extreme Value Theory (EVT) models within a real-time framework offers a promising alternative to traditional historical crash-based methods. However, current approaches often lack comprehensive analysis that integrates diverse roadway geometries, crash patterns, and two-dimensional (2D) vehicle dynamics, limiting both their accuracy and generalizability. This study addresses these gaps by employing a high-fidelity, 2D time-to-collision (TTC) near-miss indicator derived from autonomous vehicle (AV) sensor data.
View Article and Find Full Text PDFBackground: Liberal or overtransfusion (OT) may be regarded as "inappropriate," but it is not reported as a transfusion-related adverse event. A definition of OT is lacking. OT may include overdosing of components, giving the incorrect component, or unnecessary administration without evidence of need for transfusion.
View Article and Find Full Text PDFAnalysis of wrong blood in tube events at a hospital-based blood centre in a tertiary care referral hospital: A perspective from a lower middle-income country.
Vox Sang
November 2024
Department of Transfusion Medicine, All India Institute of Medical Sciences, New Delhi, India.
Background And Objectives: Wrong blood in tube (WBIT) continues to be a preventable cause of unintended harm to the patient. The literature describing extent of the problem, its consequences and factors leading to WBIT from the perspective of lower middle-income countries (LMICs) is limited. The present study describes WBIT and its outcome in a hospital-based blood centre from an LMIC.
View Article and Find Full Text PDFPrescribing Errors in an Ambulatory Care Setting: Mitigating Risks in Outpatient Medication Orders, Cross-Sectional Review.
Glob J Qual Saf Healthc
November 2024
College of Pharmacy, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Introduction: Prescribing errors (PEs) are the most common type of medication error, which may occur by prescribing the wrong medication, improper dose, dosage, and/or even prescribing a drug to the wrong patient. The present study aims to compile PEs that were generated in an ambulatory care setting at a tertiary-care hospital in Saudi Arabia.
Methods: A retrospective cross-sectional review was conducted for all reported PEs in ambulatory care clinics for 3 years.
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