Are we missing the near misses in the OR?-underreporting of safety incidents in pediatric surgery.


BACKGROUND Electronic hospital variance reporting systems used to report near misses and adverse events are plagued by underreporting. The purpose of this study is to prospectively evaluate directly observed variances that occur in our pediatric operating room and to correlate these with the two established variance reporting systems in our hospital… (More)
DOI: 10.1016/j.jss.2017.08.005


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