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| Quality Improvement Report |
| May 2007 |
| Pennsylvania pioneers mandatory near-miss reporting for hospitals |
| Near-miss reporting provides rich information that could potentially reduce adverse events, yet only one state in the country, Pennsylvania, requires it. And even though most hospitals encourage staff to alert them to close calls, many clinicians are loath to do so for fear of reprisal.
"I still think there's a reluctance, because they're saying, 'Well, nothing bad happened, so why do we need to report them?' " says Karen Griffin, RN, MSN, CNAA, a director of the American Academy of Ambulatory Care Nursing.
There are plenty of reasons to report near-misses, according to the Pennsylvania Patient Safety Authority. |
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