Catching and correcting near misses: the collective vigilance and individual accountability trade-off.

Lianne Patricia Jeffs; Lorelei A. Lingard; Whitney Berta; Ross Baker

Study

Catching and correcting near misses: the collective vigilance and individual accountability trade-off.

April 11, 2012

Jeffs LP, Lingard LA, Berta W, et al. J Interprof Care. 2012;26(2):121-6.

View more articles from the same authors.

Detection and prevention of near misses depend on a balance between individual accountability and collective vigilance, according to interviews with clinicians of different disciplines at an academic medical center.

PubMed citation

Available at

Related Resources From the Same Author(s)

Learning from near misses: from quick fixes to closing off the Swiss-cheese holes.

March 24, 2012

Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures.

September 21, 2011

Integrating implementation science in a quality and patient safety improvement learning collaborative: essential ingredients and impact.

April 19, 2023

Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative.

August 2, 2023

Reconceptualizing patient safety beyond harm: insights from a mixed-methods qualitative inquiry.

January 24, 2024

On the ball: leadership for patient safety and learning in critical care.

August 12, 2009

Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice.

June 8, 2011

Patient safety, resident well-being and continuity of care with different resident duty schedules in the intensive care unit: a randomized trial.

December 4, 2015

Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure.

June 23, 2010

Silence, power and communication in the operating room.

June 17, 2009

Related Resources

He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identification practices.

January 3, 2017

HSMR: A New Approach for Measuring Hospital Mortality Trends in Canada.

September 2, 2014

Frequency and clinical importance of pages sent to the wrong physician.

April 30, 2014

Medication event huddles: a tool for reducing adverse drug events.

March 20, 2014

Learning from near misses: from quick fixes to closing off the Swiss-cheese holes.

March 24, 2012

Understanding medication safety in healthcare settings: a critical review of conceptual models.

November 23, 2011

The efficacy of computer-enabled discharge communication interventions: a systematic review.

April 22, 2011

Information exchange among physicians caring for the same patient in the community.

April 22, 2011

The relationship between organizational leadership for safety and learning from patient safety events.

June 28, 2010

Patient Safety in Canada: An Update.

August 29, 2007

See More About The Topic

Hospitals

Health Care Providers

Health Care Executives and Administrators

General Internal Medicine

Hospital Medicine

Catching and correcting near misses: the collective vigilance and individual accountability trade-off.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Catching and correcting near misses: the collective vigilance and individual accountability trade-off.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site

Submit Your Training

Continue as a Guest

Continue Logged In

Submit Your Training

Continue as a Guest

Continue Logged In

New Users to the PSNet site

Submit Your Toolkit

Continue as a Guest

Continue Logged In

Submit Your Toolkit

Continue as a Guest

Continue Logged In

New Users to the PSNet site

Submit Your WebM&M Case

Continue as a Guest

Continue Logged In

Submit Your WebM&M Case

Continue as a Guest

Already have a PSNet

Account?

New Users