title: Leveraging safer nursing care by conceptualizing near misses as recovery processes.
abstract: The purpose of this study was to elicit perceptions and experiences of nurses associated with a recovery process (near miss) intervention (wound care management). From the content analysis of interview data involving 12 registered nurses, 2 key themes emerged. Both themes illuminated the links among pattern recognition, alignment of care processes and practice guidelines, and nurses' accountability for safe pressure ulcer care.
authors.affiliation: St Michael's Hospital, and School of Health Sciences, Humber Institute of Technology and Advanced Learning, Toronto, Ontario, Canada. jeffsl@smh.toronto.on.ca
authors.forename: Lianne
authors.initials: L
authors.lastname: Jeffs
authors.forename: Kathleen
authors.initials: K
authors.lastname: MacMillan
authors.forename: Maria
authors.initials: M
authors.lastname: Maione
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D019985:Benchmarking; D002170:Canada; D004059:Diffusion of Innovation; D017144:Focus Groups; D006801:Humans; D019300:Medical Errors / Q000379:methods / Q000451:nursing / Q000517:prevention & control*; D008875:Middle Aged; D024802:Nurse's Role / Q000523:psychology*; D009730:Nursing Assessment; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration / Q000523:psychology*; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration; D017410:Practice Guidelines as Topic; D003668:Pressure Ulcer / Q000451:nursing / Q000517:prevention & control*; D018570:Risk Assessment; D017751:Safety Management / Q000458:organization & administration*; D011795:Surveys and Questionnaires; D017749:Total Quality Management / Q000458:organization & administration