Near Miss

A near miss is defined as a healthcare error or mistake that narrowly avoids patient harm. Colloquially referred to as a “good catch” or “close call,” an error is identified early enough to avoid impacting the patient completely, or the patient incurs minimal impact.1...

Sentinel Events

A sentinel event is defined as a patient safety event that reaches a patient and results in any of the following: Death Permanent harm Severe temporary harm and requires intervention to sustain life An event can also be considered a sentinel event even if the result...

Surgical Debriefs

Debrief is a dedicated session in which participants review and reflect on team performance or a clinical outcome. Surgical debriefs are multi-disciplinary, involving surgeons, anesthesia, nursing and allied healthcare staff. These sessions are structured with a...