Changes to structures and processes
An internal circular signed by the Director about the near-miss
reporting process was distributed among the units by the Nursing Officer
(NO) – Quality Management Unit (QMU) with a folder containing the
near-miss reporting forms and the national guideline. The in-charge
nursing officers were instructed to keep the folder accessible to any
health care worker (HCW). Details of the intervention were shared in the
social media groups of HCWs and conveyed by the head of the institution
during consultant meetings and unit in-charge meetings. A near-miss
reporting form box was established in front of the QMU to drop the
completed forms confidentially. Fortnightly reminders about near-miss
reporting were shared in staff social media groups, and periodic
feedback was provided at consultant meetings and in-charge meetings to
improve reporting.