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.