• Is your organization learning from its near misses?

     

    Leading research shows how tracking near misses can prevent adverse events

    Healthcare organizations are facing mounting pressure from consumers, state governments, funders and the Centers for Medicare and Medicaid Services (CMS) to improve patient safety and embed more accountability and transparency. Healthcare organizations have been reporting adverse events for many years, yet a significant number of events still go unreported.

     

    This research report will propose how capturing and learning from near misses in healthcare organizations using an electronic system could lead to the prevention of actual adverse events.

     

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  • Quick Facts about Never EventsCMS Never Events

    • In 2002, NQF identified 27 adverse events occurring in hospitals that are serious, largely preventable and of concern to both the public and healthcare providers


    • CMS identified 11 hospital-acquired conditions (HACs) that Medicare will not cover, which overlap with NQF's list but don't include all 28 events