Patient safety in surgical settings: A study on the challenges and improvement strategies in adverse event reporting from a nursing perspective.

Abstract

To explore adverse event reporting in the surgical department through the nurses' experiences and perspectives. An exploratory, descriptive qualitative study was conducted with a theoretical-methodological orientation of phenomenology. In-depth interviews were conducted with 15 nurses, followed by an inductive thematic analysis. Themes include motives for reporting incidents, consequences, feelings and motivational factors. Key facilitators of adverse event reporting were effective communication, knowledge sharing, a non-punitive culture and superior feedback. The study underscores the importance of supportive organisational culture for reporting, communication and feedback mechanisms, and highlights education and training in enhancing patient safety. It suggests the need for strategies that foster incident reporting, enhance patient safety and cultivate a supportive organisational culture. This study provides critical insights into adverse event reporting in surgical departments from nurses' lived experience, leading to two primary impacts: It offers specific solutions to improve adverse event reporting, which is crucial for surgical departments to develop more effective and tailored reporting strategies. The research underscores the importance of an open, supportive culture in healthcare, which is vital for transparent communication and effective reporting, ultimately advancing patient safety. The study followed the Standards for Reporting Qualitative Research and the Consolidated Criteria for Reporting Qualitative Research guidelines. No patients or public contribution.