The study of
near miss events will present a methodological challenge to researchers who traditionally base their discussions and research designs on negative outcomes (i.e., sick or not sick, hit by a car or not hit by a car, a workplace accident or no workplace accident).
Strengths of this study include that a relatively large number of
near misses from BDACS in a variety of hospitals with different levels of care could be reviewed, which have not been audited before.
The following
near miss indicators were also calculated (7,8,9): Maternal
near miss ratio (MNMR) which was the number of maternal
near miss per 1.000 live births.
Across all participants, the average rating for a total loss was 2.86 (573=0.63), the mean rating for a
near miss was 3.29 (5D=0.78), and the mean rating of a win was 4.99 (50=0.046).
Due to success of modern medicines such deaths are now rare in developed countries and there is an increased interest in analyzing
near miss events and the
near miss statistics should be mentioned in national health indices as a means to improve health care delivery system to the population4.
The importance of the
near miss in improving safety performance has been well known and used in many highly technical, complex, and error light industries according to James Reason in his work Managing the Risks of Organizational Accidents (1997).
Severe maternal morbidity (
near miss) as a sentinel event of maternal death.
In many developed countries, maternal mortality has fallen to single digits whereas
near miss cases are more and hence useful in evaluation of the present system.
The
near miss, known as an "airprox", took place above Betws-y-Coed in April but details of it have just been published by the UK Airprox Board which looks after air safety.
Safety management;
near miss identification, recognition, and investigation.
WORRIED onlookers believed they had seen a
near miss in the skies over Tyneside yesterday.