For an example of what I mean, look at Volodos or Marc-Andre Hamelin -- both well-known for their incredibly crisp and accurate technique.
The answer is NOT to play more. There are some pieces I'm working on (e.g. end of Liszt's Transcendental Etude 10) where 2 years of practicing has not increased my accuracy, and I've plateaued.
Practicing smart is surely better than practicing a lot, but the problem is that the "smartest" way to do this is somewhat difficult to determine, and though there aren't any virtuosos nearby that I know to ask, I would imagine there are quite a few skilled pianists that peruse the Music StackExchange.
Is practicing slowly the best? Medium tempo?
Practicing hours on end for many days? Or only practicing every other day? It varies significantly by activity (for instance, with running, twice a day is generally optimal to become world-class, but the same cannot be said for weight-lifting).
My best guess is that there would be some sort of "fatigue point" while playing piano where it becomes harmful to continue playing, and it would be better to take 30-60 minute breaks to refresh one's mind, but I'm really not sure (otherwise I wouldn't be asking this question).
So please share any advice that has worked for you to increase your note accuracy!