Addition of "near-miss" cases enhances a quality improvement conference.
Medical error is a prominent public issue today. Surgeons, for many decades, have conducted regular and meaningful reviews of most untoward events, which deserve improvement. "Near-miss" is a useful focus for such a conference, in that it avoids a focus on ultimate personal guilt and minimizes exposure to litigation (ie, a nonevent).
McCafferty
Michael H
MH
Department of Surgery, University of Louisville School of Medicine, and the Trauma Program in Surgery, University of Louisville Hospital, Louisville, KY, USA. m0mcca03@gwise.louisville.edu
Polk
Hiram C
HC
D000328:Adult; D004502:Education, Medical, Continuing; D004632:Emergency Medical Services / Q000592:standards / Q000639:trends; D005260:Female; D006801:Humans; D008297:Male; D019300:Medical Errors / Q000517:prevention & control*; D008875:Middle Aged; D011785:Quality Assurance, Health Care; D017751:Safety Management; D012494:Sampling Studies; D014481:United States