Conclusion
Although there are two current issue-specific near-miss reporting
systems in curative healthcare institutions in Sri Lanka, there needs to
be an inclusive near-miss reporting system covering all major
specialties. The level of reporting of the existing systems is also
unsatisfactory. This study provides a foundational evidentiary basis
upon which the pilot can now be extended to other institutions, with the
intention of the system being further refined before national
implementation. This systematic, gradual approach will maximise the
uptake and effectiveness of the new national system. A similar process
is advocated for other countries in the region that do not currently
have a near-miss reporting system. Quality and safety stakeholders from
the region are encouraged to contact the project team to discuss
opportunities for ongoing regional learning and collaboration.