Thematic Analysis of Consultative Meetings
Several key issues were identified as the major bottlenecks in the current systems, including inadequate HCW knowledge about near-misses and adverse events/incidents; negative perceptions of HCWs about near-misses, adverse events/incidents, and reporting processes; poor user-friendliness of the existing near-miss reporting systems; and a lack of a well-established mechanism to incorporate preventive measures as best practices to be implemented across all healthcare institutions. The major gaps identified were that the existing near-miss reporting systems in Sri Lanka covered only maternal near-misses or those related to blood transfusions and that the current reporting forms were not user-friendly.