Life threatening condition, which included near miss and maternal deaths cases were retrospectively identified among all pregnant and recently delivered women with pregnancy related complications and who were admitted to the FH maternity from January 1 to December 31 2010.
Researchers recorded the numerical rating value corresponding with the tic mark the participant choose after each play, the bet color and ticket value the participant chose, the number of tickets won, and the outcome of the trial (win, near miss, or loss).
Prevention of maternal mortality is obviously the aim of obstetricians, hence an outcome audit of near miss maternal deaths would be a useful adjunct to an assessment of maternal deaths and would concentrate on the management of morbidity once it has occurred2.
The importance of the near miss in improving safety performance has been well known and used in many highly technical, complex, and error light industries according to James Reason in his work Managing the Risks of Organizational Accidents (1997).
Another recommendation we would suggest in regard to building perceptions of supervisor support (as well as encouraging incident reporting) is for the supervisor to give feedback to employees about what actions have been taken to correct potentially hazardous situations that were identified in response to a near miss or first-aid case.