Factors Affecting Patient Safety Near Miss Reporting: A Systematic Review
Abstract
AIM
To explore individual and organisational factors affecting near-miss reporting in healthcare settings.
DESIGN
Systematic review following the PRISMA 2020 guidelines.
DATA SOURCES
Five electronic databases from 2013 to 2024 studies published were searched.
METHODS
A comprehensive search was conducted across PubMed, Web of Science, MEDLINE, Scopus and OpenAlex, covering English, full-text literature from 2013 to 2024. Inclusion criteria focused on studies investigating factors influencing near-miss reporting in healthcare. The risk of bias was assessed using the Risk of Bias in Non-randomised Studies of Interventions tool. Data were synthesised using the Health Belief Model and the Hospital Patient Safety Culture framework.
RESULTS
A total of 20 studies were included. Key individual barriers to near-miss reporting included a lack of knowledge and negative perceptions. Organisational factors, including hospital safety culture, leadership support, error communication, and non-punitive responses to reporting, significantly impacted reporting behaviours.
CONCLUSION
Promoting a structured and supportive reporting culture, educational initiatives, and simplified reporting mechanisms can improve near-miss reporting practices.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE
Improving near-miss reporting practices by addressing identified barriers can lead to safer healthcare environments and better patient outcomes.
IMPACT
This paper addresses a gap in the literature regarding…
How strong is the evidence?
Evidence Hub reads this as a systematic review, done in people. Its evidence level is 1 of 5 (Highest · pooled evidence). Pooled evidence from several studies sits at the top of the evidence pyramid.
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