Tracking medical errors and near misses in the new graduate registered nurse

Nursing Forum ◽  
2019 ◽  
Vol 55 (2) ◽  
pp. 174-176
Author(s):  
Larissa Africa ◽  
Jean S. Shinners
Keyword(s):  
Medical Errors ◽  
Registered Nurse ◽  
Near Misses ◽  
New Graduate ◽  
New Graduate Registered Nurse

scholarly journals New graduate registered nurse transition into primary health care roles: an integrative literature review

2016 ◽  
Vol 25 (21-22) ◽  
pp. 3084-3101 ◽  
Author(s):  
Pauline Murray-Parahi ◽  
Michelle DiGiacomo ◽  
Debra Jackson ◽  
Patricia M Davidson
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Literature Review ◽  
Registered Nurse ◽  
Primary Health ◽  
New Graduate ◽  
New Graduate Registered Nurse

Errors in Otology

1996 ◽  
Vol 75 (11) ◽  
pp. 710-714 ◽  
Author(s):  
Jack M. Kartush
Keyword(s):  
Medical Errors ◽  
Diagnosis And Treatment ◽  
Near Misses ◽  
Common Causes ◽  
Causes Of Errors ◽  
Widespread Dissemination

Practicing medicine successfully requires that errors in diagnosis and treatment be minimized. Malpractice laws encourage litigators to ascribe all medical errors to incompetence and negligence. There are, however, many other causes of unintended outcomes. This article describes common causes of errors and suggests ways to minimize mistakes in otologic practice. Widespread dissemination of knowledge about common errors and their precursors can reduce the incidence of their occurrence. Consequently, laws should be passed to allow for a system of non-punitive, confidential reporting of errors and “near misses “ that can be shared by physicians nationwide.

How a System for Reporting Medical Errors Can and Cannot Improve Patient Safety

2006 ◽  
Vol 72 (11) ◽  
pp. 1088-1091 ◽  
Author(s):  
John R. Clarke
Keyword(s):  
Patient Safety ◽  
Medical Errors ◽  
Systems Of Care ◽  
Improve Patient Safety ◽  
Integrated System ◽  
Ease Of Use ◽  
Near Misses ◽  
Safety Reporting ◽  
Ideal System ◽  
Reporting Systems

The Institute of Medicine has recommended systems for reporting medical errors. This article discusses the necessary components of patient safety databases, steps for implementing patient safety reporting systems, what systems can do, what they cannot do, and motivations for physician participation. An ideal system captures adverse events, when care harms patients, and near misses, when errors occur without any harm. Near misses signal system weaknesses and, because harm did not occur, may provide insight into solutions. With an integrated system, medical errors can be linked to patient and team characteristics. Confidentiality and ease of use are important incentives in reporting. Confidentiality is preferred to anonymity to allow follow-up. Analysis and feedback are critical. Reporting systems need to be linked to organizational leaders who can act on the conclusions of reports. The use of statistics is limited by the absence of reliable numerators and denominators. Solutions should focus on changing the cultural environment. Patient safety reporting systems can help bring to light, monitor, and correct systems of care that produces medical errors. They are useful components of the patient safety and quality improvement initiatives of healthcare systems and they warrant involvement by physicians.

“To err is human”: uniformly reporting medical errors and near misses, a naïve, costly, and misdirected goal

2003 ◽  
Vol 196 (6) ◽  
pp. 911-918 ◽  
Author(s):  
Charles H Andrus ◽  
Eduardo G Villasenor ◽  
John B Kettelle ◽  
Randolph Roth ◽  
Allison M Sweeney ◽  
...  
Keyword(s):  
Medical Errors ◽  
Near Misses
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