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An ideal near miss event reporting system includes both mandatory (for incidents with high loss potential) and voluntary, non-punitive reporting by witnesses. A key to any near miss report is the "lesson learned". Near miss reporters can describe what they observed of the beginning of the event, and the factors that prevented loss from occurring.
A maternal near miss (MNM) is an event in which a pregnant woman comes close to maternal death, but does not die – a "near-miss".Traditionally, the analysis of maternal deaths has been the criterion of choice for evaluating women's health and the quality of obstetric care.
Maternal death or serious disability associated with labor or delivery in a low-risk pregnancy while being cared for in a health care facility; Patient death or serious disability associated with hypoglycemia, the onset of which occurs while the patient is being cared for in a healthcare facility
Patient safety work product includes any data, reports, records, memoranda, analyses (such as root cause analyses), or written or oral statements (or copies of any of this material), which are assembled or developed by a provider for reporting to a PSO and are reported to a PSO; or are developed by a patient safety organization for the conduct ...
The Federal Aviation Administration has called for ‘urgent action’ after a series of near-misses at US airports (Getty Images) New York Terminal Radar Approach Control staffing is at just 54 ...
The deadly air collision that killed 67 people in Washington, DC Wednesday night came amid an air traffic control staffing crisis and alarmingly high rates of near-misses on airport runaways.
He produced an amended triangle that showed a relationship of one serious injury accident to 10 minor injury (first aid only) accidents, to 30 damage causing accidents, to 600 near misses. However, one could assume that not all minor injuries and near misses will be reported, which will result in some fault of the triangle. [4]
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