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PSNet: Patient Safety Network
Journal Article

Using "near misses" analysis to prevent wrong-site surgery.

Yoon RS, Alaia MJ, Hutzler LH, et al. Journal for healthcare quality : official publication of the National Association for Healthcare Quality. 2015;37:126-32.

By tracking improper surgical bookings and observing time-out procedures, this study measured near misses for wrong-site surgery and provided education about correct procedures when they encountered errors. After this education, surgical booking and time-out procedures improved.