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What causes near-misses and how are they mitigated?
Plast Surg Nurs
May 2016
At Inova Fair Oaks Hospital in Fairfax, Va., Karen Gabel Speroni is a nursing research scientist, Judith Fisher is the former director of clinical operations, Marie Dennis is the former chief nursing officer, and Marlon Daniel is a biostatistician.
Objectives: The objectives of this study were to determine the reasons hospital RNs attribute to near-misses and the techniques they used to mitigate these near-misses to prevent serious reportable events.
Background: Our health system developed this definition for the study: A near-miss is a variation in a normal process that, if continued, could have a negative impact on patients.
Methods: Study participants were RNs who completed a survey about a self-reported near-miss or another RN's near-miss they'd witnessed.