{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T02:04:32Z","timestamp":1777860272141,"version":"3.51.4"},"reference-count":35,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,11,1]],"date-time":"2020-11-01T00:00:00Z","timestamp":1604188800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Risk &amp; Safety in Medicine"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Near-miss analysis is an effective method for preventing serious adverse events, including never events such as wrong-site surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBJECTIVE:<\/jats:title>\n                    <jats:p>To analyze all near-miss incidents reported in a large general hospital in southern Brazil between January 2013 and August 2017.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHOD:<\/jats:title>\n                    <jats:p>\n                      We performed a descriptive retrospective study of near-miss incidents recorded in the hospital\u2019s electronic reporting system in a large non-profit hospital (497 beds). The results are expressed as absolute (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      ) and relative frequencies (%). Pearson\u2019s chi-square test, Fisher\u2019s exact test (Monte Carlo simulation) and linear regression were used.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>A total of 12,939 near-miss incidents were recorded during the study period, with linear growth in the number of reports. Near-miss incidents were most frequent for medication, followed by processes unspecified in the International Classification for Patient Safety framework, followed by information control (patient chart and fluid balance data), followed by venous\/vascular puncture. The highest prevalence of reports was observed in inpatient wards, in adult, pediatric, and neonatal intensive care units, and in the surgical center\/post-anesthesia care unit. Pharmacists and nursing personnel recorded most of the reports during the day shift.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>The most frequent categories of near-miss incidents were medication processes, other institutional protocols, information control issues, and venous\/vascular puncture. The significant number of reported near-miss incidents reflects good adherence to the reporting system.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3233\/jrs-194050","type":"journal-article","created":{"date-parts":[[2020,6,16]],"date-time":"2020-06-16T14:04:53Z","timestamp":1592316293000},"page":"247-258","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Near-miss analysis in a large hospital in southern Brazil: A 5-year retrospective study"],"prefix":"10.1177","volume":"31","author":[{"given":"Vania","family":"R\u00f6hsig","sequence":"first","affiliation":[{"name":"Hospital Moinhos de Vento,  Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisiane","family":"Lorenzini","sequence":"additional","affiliation":[{"name":"Federal University of Santa Catarina,  Florian\u00f3polis,  Santa Catarina, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed Fayeq Parrini","family":"Mutlaq","sequence":"additional","affiliation":[{"name":"Hospital Moinhos de Vento,  Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rubia Natasha","family":"Maestri","sequence":"additional","affiliation":[{"name":"Hospital Moinhos de Vento,  Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aline Brenner","family":"de Souza","sequence":"additional","affiliation":[{"name":"Hospital Moinhos de Vento,  Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Belisa Marin","family":"Alves","sequence":"additional","affiliation":[{"name":"Hospital Moinhos de Vento,  Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Graciela","family":"Wendt","sequence":"additional","affiliation":[{"name":"Hospital Moinhos de Vento,  Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bianca Gubert","family":"Borges","sequence":"additional","affiliation":[{"name":"Hospital Moinhos de Vento,  Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Hospital Moinhos de Vento,  Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,11]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2015-004456"},{"key":"e_1_3_2_3_2","first-page":"1","article-title":"Researching safety culture: Deliberative dialogue with a restorative lens","volume":"37","author":"Lorenzini E","year":"2017","unstructured":"LorenziniE OelkeND MarckPB Dall\u2019agnolCM. 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