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.