Group near misses to identify a trend and select a control that addresses the common pathway.
Three clinic near misses look unrelated until the reports are grouped by location, time, and path conflict. Group near misses, identify the common pathway, then select one control that changes that pathway. The common shortcut is to close each report with 'reminded staff to watch for carts,' which treats symptoms as separate and leaves the corridor design unchanged. Step 1: Normalize the facts Write each report in the same structure: event, possible harm, location, time, task, equipment, and what prevented injury. A shared structure lets the pattern surface. Free-text stories are useful, but trend analysis needs comparable fields. Step 2:…
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