Review near misses to prevent accidents

Luke Perkins - June 16th, 2020

"Eye surgeon’s error confounds boy’s parents. She mistakenly operated on the wrong one; lawsuit being mulled." Read more at The Columbian.

Don't wait till a catastrophe happens.

Wrong site surgery (WSS) events are often devastating to the patient, nursing staff, surgeon, and facility where the surgery was performed. When they occur, it is common practice to perform root cause analysis to determine the causes of or factors that contributed to the accident. There's a safer way to get better though.

Near misses, sometimes referred to as close calls or potential adverse events, are defined as acts of commission or omission that could have harmed the patient but did not cause harm as a result of chance, prevention or mitigation. (Bates 1995). Near miss analysis is the review of types and causes of error and an investigation of how those errors were mitigated. This type of analysis can contribute towards preventing never events, such as WSS. (National Academy of Sciences 2004)

As a surrogate for WSS, analysis of near miss events may allow organizations to examine the effectiveness of complex systems designed to prevent WSS, without such an event ever occurring. (Yoon 2015) A system to capture and analyze near miss data would present a substantial opportunity to reduce or eliminate WSS.

Read more about near misses.

Learn more about Wrong Site Surgery.

Find out how the StartBox System captures near misses to eliminate WSS.

Latest Updates

StartBox Can Reduce Errors to Zero

A study was conducted at a single site over a twelve-month period. Similarly to the experience reported in a peer-reviewed publication, patient harm was prevented and errors were captured. Additionally, a downward trend in near misses was observed, with zero reported during the last five months of the period. This suggests that the StartBox System can help healthcare facilities and providers improve their patient safety and risk profiles over time.
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StartBox Welcomes Kim Kramer, Head of Risk Consulting

Kim Kramer will lead StartBox in capitalizing on its goals of mitigating risk, reducing medical liability costs and increasing healthcare operational efficiencies.
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Clinical Experience with StartBox Published in Peer-Reviewed Journal

Innovative Technology System to Prevent Wrong Site Surgery and Capture Near Misses: A Multi-Center Review of 487 Cases
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Prevent Harm & Reduce Costs 

Start using the StartBox System in your clinic, surgery center or hospital operating room to track errors and reduce costs today.

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