Please use this identifier to cite or link to this item:
http://hdl.handle.net/1942/10723
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Kessels-Habraken, Marieke | - |
dc.contributor.author | VAN DER SCHAAF, Tjerk | - |
dc.contributor.author | De Jonge, Jan | - |
dc.contributor.author | Rutte, Christel | - |
dc.date.accessioned | 2010-03-13T11:05:24Z | - |
dc.date.available | 2010-03-13T11:05:24Z | - |
dc.date.issued | 2010 | - |
dc.identifier.citation | Social Science & Medicine, Published online, 70(9), p. 1301-1308 | - |
dc.identifier.issn | 0277-9536 | - |
dc.identifier.uri | http://hdl.handle.net/1942/10723 | - |
dc.description.abstract | Medical errors in health care still occur frequently. Unfortunately, errors cannot be completely prevented and 100% safety can never be achieved. Therefore, in addition to error reduction strategies, health care organisations could also implement strategies that promote timely error detection and correction. Reporting and analysis of so-called near misses – usually defined as incidents without adverse consequences for patients – are necessary to gather information about successful error recovery mechanisms. This study establishes the need for a clearer and more consistent definition of near misses to enable large-scale reporting and analysis in order to obtain such information. Qualitative incident reports and interviews were collected on four units of two Dutch general hospitals. Analysis of the 143 accompanying error handling processes demonstrated that different incident types each provide unique information about error handling. Specifically, error handling processes underlying incidents that did not reach the patient differed significantly from those of incidents that reached the patient, irrespective of harm, because of successful countermeasures that had been taken after error detection. We put forward two possible definitions of near misses and argue that, from a practical point of view, the optimal definition may be contingent on organisational context. Both proposed definitions could yield large-scale reporting of near misses. Subsequent analysis could enable health care organisations to improve the safety and quality of care proactively by (1) eliminating failure factors before real accidents occur, (2) enhancing their ability to intercept errors in time, and (3) improving their safety culture. | - |
dc.language.iso | en | - |
dc.publisher | Elsevier | - |
dc.subject.other | patient safety;near miss; no harm; adverse event; error handling; error recovery | - |
dc.title | Defining near misses: Towards a sharpened definition based on empirical data about handling processes | - |
dc.type | Journal Contribution | - |
dc.identifier.epage | 1308 | - |
dc.identifier.issue | 9 | - |
dc.identifier.spage | 1301 | - |
dc.identifier.volume | 70 | - |
local.bibliographicCitation.jcat | A1 | - |
dc.description.notes | Affiliation: a Eindhoven University of Technology, Eindhoven, The Netherlands; b Hasselt University, Belgium; c Tilburg University, Tilburg, The Netherlands | - |
local.type.refereed | Refereed | - |
local.type.specified | Article | - |
dc.bibliographicCitation.oldjcat | A1 | - |
dc.identifier.doi | 10.1016/j.socscimed.2010.01.006 | - |
dc.identifier.isi | 000277500400007 | - |
item.fulltext | With Fulltext | - |
item.contributor | Kessels-Habraken, Marieke | - |
item.contributor | VAN DER SCHAAF, Tjerk | - |
item.contributor | De Jonge, Jan | - |
item.contributor | Rutte, Christel | - |
item.accessRights | Restricted Access | - |
item.fullcitation | Kessels-Habraken, Marieke; VAN DER SCHAAF, Tjerk; De Jonge, Jan & Rutte, Christel (2010) Defining near misses: Towards a sharpened definition based on empirical data about handling processes. In: Social Science & Medicine, Published online, 70(9), p. 1301-1308. | - |
item.validation | ecoom 2011 | - |
crisitem.journal.issn | 0277-9536 | - |
crisitem.journal.eissn | 1873-5347 | - |
Appears in Collections: | Research publications |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
Metis242468.pdf Restricted Access | Published version | 196.01 kB | Adobe PDF | View/Open Request a copy |
SCOPUSTM
Citations
31
checked on Sep 2, 2020
WEB OF SCIENCETM
Citations
33
checked on Oct 4, 2024
Page view(s)
24
checked on Sep 7, 2022
Download(s)
52
checked on Sep 7, 2022
Google ScholarTM
Check
Altmetric
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.