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Surgical safety does not happen by accident: learning from perioperative near miss case studies.

Stucky CH, Michael Hartmann J, Yauger YJ, et al. Surgical safety does not happen by accident: learning from perioperative near miss case studies. J Perianesth Nurs. 2024;39(1):10-15. doi:10.1016/j.jopan.2023.06.095.

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January 24, 2024
Stucky CH, Michael Hartmann J, Yauger YJ, et al. J Perianesth Nurs. 2024;39(1):10-15.
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Near misses (or close calls) are often underreported but can offer unique opportunities for organizational learning. In this article, the authors present 15 perioperative near-miss events (e.g., medication administration errors, wrong-site surgery, allergies), describe the contributing factors, and discuss approaches to improve incident reporting among perioperative care team members.

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Stucky CH, Michael Hartmann J, Yauger YJ, et al. Surgical safety does not happen by accident: learning from perioperative near miss case studies. J Perianesth Nurs. 2024;39(1):10-15. doi:10.1016/j.jopan.2023.06.095.