Near misses and unsafe conditions reported in a Pediatric Emergency Research Network. || AHRQ Patient Safety Network

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Near misses and unsafe conditions reported in a Pediatric Emergency Research Network.

Ruddy RM, Chamberlain JM, Mahajan PV, et al; Pediatric Emergency Care Applied Research Network. BMJ Open. 2015;5:e007541.

This study of incident reports from pediatric emergency departments found that a small proportion reported near misses or unsafe conditions. Common issues included medication safety, handoffs, human factors, andsystems vulnerabilities, all of which are known to lead to patient harm. Prior studies have found that incident reporting is often underused. This study highlights its importance as a lens into safety problems.

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