Expanding patient safety reporting efforts to include close calls provides valuable information to identify systemic flaws and prevent actual patient harm without the liability of actual adverse events.
That day in the operating room, it was the anesthesiologist who noticed the error. He was supposed to be holding a vial of 0.9% sodium chloride. Instead, he was holding succinylcholine, a potent neuromuscular blocker that causes respiratory paralysis.11 The mix-up was potentially lethal, but his
Wu et al. (Mon,) conducted a editorial in Patient safety and medical errors. Close call (near miss) reporting systems vs. Focusing only on actual adverse events was evaluated. Expanding patient safety reporting efforts to include close calls provides valuable information to identify systemic flaws and prevent actual patient harm without the liability of actual adverse events.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: