Medical errors on an inpatient neurology service.
It has been proposed that "near misses" or "close calls" could serve as a focus for corrective action. Voluntary, anonymous error data were collected for 4 weeks and 235 events were reported: 168 were near misses and 67 resulted in adverse patient consequences. Of the 35 errors relating to diet, 17 (49%) resulted in adverse patient consequences, compared with only 5 of 43 (12%) of the errors related to medication.
Frank
Samuel
S
University of Rochester School of Medicine and Dentistry, Rochester, NY 14620, USA. sam.frank@ctcc.rochester.edu
Holloway
Robert
R
D000046:Academic Medical Centers / Q000706:statistics & numerical data; D006748:Hospital Departments / Q000706:statistics & numerical data*; D006801:Humans; D019300:Medical Errors / Q000706:statistics & numerical data*; D008499:Medical Records; D008508:Medication Errors / Q000706:statistics & numerical data; D009462:Neurology / Q000706:statistics & numerical data*; D012308:Risk Management / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires