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Addition of "near-miss" cases enhances a quality improvement conference
Michael H McCafferty1, Hiram C Polk
1Department of Surgery, University of Louisville School of Medicine, and the Trauma Program in Surgery, University of Louisville Hospital, Louisville, KY, USA. m0mcca03@gwise.louisville.edu
Abstract:
Medical error is a prominent public issue today. Surgeons, for many decades, have conducted regular and meaningful reviews of most untoward events, which deserve improvement. "Near-miss" is a useful focus for such a conference, in that it avoids a focus on ultimate personal guilt and minimizes exposure to litigation (ie, a nonevent).
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