An examination of near-miss events experienced by healthcare workers in the operating room


HANÇERLİOĞULLARI O., AYHAN H., ÖZDEN E., KOYUNCU F., Şimşek F., Uçaner B., ...Daha Fazla

Perioperative Care and Operating Room Management, cilt.44, 2026 (ESCI, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 44
  • Basım Tarihi: 2026
  • Doi Numarası: 10.1016/j.pcorm.2026.100724
  • Dergi Adı: Perioperative Care and Operating Room Management
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus
  • Anahtar Kelimeler: Healthcare workers, Near-miss events, Operating rooms, Patient safety
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Objective: This study aimed to examine healthcare workers’ experiences with near-miss events in the operating room and to identify their frequency, causes, and reporting behaviors. Methods: This descriptive study was conducted between March and June 2023 in a training and research hospital with 232 multidisciplinary healthcare workers. Data were collected using a demographic form and a structured near-miss reporting form, analyzed descriptively, and classified based on the WHO International Classification for Patient Safety. Results: Of the participants, 58.6% encountered a near-miss event, but only 8.8% reported it. The most frequent categories were clinical processes/procedures (34.52%) and medication/IV fluids (27.38%). Common events were wrong-site surgery, patient misidentification, and near falls. Inattention (31.34%) and inexperience (15.67%) were main causes. Suggested solutions included increased caution (25.5%), training (14.77%), and better communication (8.05%). Conclusion: Near-miss events are common but underreported; promoting safety culture and non-punitive reporting is essential.