Nurses’ willingness to report near misses: A multilevel analysis of contributing factors

• Min Young Kim

  Jeju National University

• Seungwan Kang

  Korea University , Korea University

• Young Mee Kim

  Seoul National University Hospital

• Myoungsoon You

  Seoul National University

Although potential future medical errors can best be prevented through reporting near misses, on-site error reporting is not being achieved to a satisfactory level. We surveyed 489 nurses working in 34 wards at a university hospital in Korea in regard to their understanding of factors related to error reporting. Survey items included willingness to report near misses, defensive silence, leader-member exchange, role clarity, and knowledge-sharing climate. Results indicated that defensive silence in the workplace and unclearly defined roles reduced nurses’ willingness to report errors, whereas trust-based leader-member exchange (LMX) increased the intention. Knowledge-sharing climates contributed to increasing nurses’ intention to report errors, even among those of a silent disposition and in settings where the quality of LMX between the nurses and head nurse was not high.

1. Min Young Kim, Jeju National University
   College of Nursing
2. Seungwan Kang, Korea University, Korea University
   School of Business Administration
3. Young Mee Kim, Seoul National University Hospital
   Department of Nursing
4. Myoungsoon You, Seoul National University
   Graduate School of Public Health

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