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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.
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]
A sentinel event is "any unanticipated event in a healthcare setting that results in death or serious physical or psychological injury to a patient, not related to the natural course of the patient's illness". [1]
The Federal Aviation Administration has called for “urgent action” after a series of near-misses at US airports.. An independent safety review team named by the Federal Aviation Administration ...
Homendy, who will testify at a Senate Commerce aviation subcommittee hearing along side the Federal Aviation Administration and aviation unions, will tell senators the aviation system has a lack ...
The near-miss has refocused attention on the safety of open source software – free, often volunteer-maintained programs whose transparency and flexibility mean they serve as the foundation for ...
Near miss (safety), an unplanned event that did not result in injury, illness, or damage - but had the potential to do so; Near-miss effect, a psychological effect in gambling; Near-Earth object, an asteroid or meteorite that barely misses the earth or another body; Near-miss Johnson solid, a type of geometric shape; Near Miss (band), an ...
The National Patient Safety Agency produced a list of eight core never events in March 2009: [5]. Wrong site surgery; Retained instrument postoperation; Wrong route administration of chemotherapy