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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.
Patient death or serious disability associated with the use of restraints or bedrails while being cared for in a healthcare facility; Any instance of care ordered by or provided by someone impersonating a physician, nurse, pharmacist, or other licensed healthcare provider; Abduction of a patient of any age
Discovering that patient safety had become a frequent topic for journalists, health care experts, and the public, it was harder to see overall improvements on a national level. What was noteworthy was the impact on attitudes and organizations. Few health care professionals now doubted that preventable medical injuries were a serious problem.
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.
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 ...
Sentinel events can be caused by major mistakes and negligence on the part of a healthcare provider, and are closely investigated by healthcare regulatory authorities. Sentinel events are identified under The Joint Commission (TJC) accreditation policies to help aid in root cause analysis and to assist in development of preventive measures. The ...
SB 9 requires health care entity mergers of at least $10 million dollars (mostly hospital systems and insurance companies) to file with the Attorney General’s office for review for antitrust ...