Catch of the Month!

Jan 12, 2017 | News

Near misses are opportunities to prevent harm to patients in the future.

A near miss in medicine is an event that might have resulted in harm but the problem did not reach the patient because of timely intervention by healthcare providers or by good fortune. Near misses may also be referred to as "close calls" or "good catches." In a culture of safety, near misses are "free lessons." Near misses may occur many times before an actual harmful incident. Further, many avoidable deaths have a history of related near misses preceding them.

Providence Health Care view near misses as learning and improvement opportunities by asking, "How will the next patient be put at risk or harmed?” PHC values and acknowledges input from those who care for patients, and make appropriate improvements.

Why are near misses important?

They represent "error prone situations" and "error traps" waiting to catch other patients and providers.
There is less anxiety about blame because no one has been harmed.

Why should near misses be reported?

Reporting near misses helps to:

  • Reduce risks for all patients by not waiting for harm to occur
  • Trigger improvements in weak spots in the processes of care
  • Alert other providers to possible vulnerabilities and gaps in training
  • Contribute to planning, recovery testing, and harm mitigation strategies following  events that do result in harm

Check out November's Catch of the Month!

PDF icon good_catch_jan2017.pdf
Quality & Safety

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