Influencing factors of self-reported near-miss in clinical nursing information system tasks among nurses: a multicenter cross-sectional study

作者：Xingyao Du, Haoning Shi, Ying Peng, Siqi Jiang, Jingyan Song, Chunni Wang, Lin Li, Mingzhao Xiao, Qinghua Zhao, Huanhuan Huang · 发表于：BMC Nursing · 年份：2025 · DOI：10.1186/s12912-025-03622-8 · 被引用次数：2 · 研究领域：Electronic Health Records Systems、Patient Safety and Medication Errors、Healthcare Technology and Patient Monitoring

BACKGROUND: Clinical nursing information systems have certain safety vulnerabilities in the complex interactions of the healthcare environment. Near-misses refer to patient safety incidents that have the potential to cause harm but do not result in adverse outcomes, serving as frontline sentinels for identifying risks. The aim of this study was to assess the current status of near misses in clinical nursing information system tasks and the factors that influence them, to provide insights for improving patient safety and enhancing care management. METHODS: The study was based on the Human-Machine-Environment (HME) systems engineering framework and utilized three validated tools: the Nurse Informatics Competency Assessment Scale (NICAS), the Clinical Nursing Information System Effectiveness Evaluation Scale (CNISEES), and the Workplace Interruption Measurement Scale (WIMS). Using a multicenter cross-sectional design, we recruited 1,311 clinical nurses from 12 tertiary hospitals in Chongqing, China. Descriptive statistics, chi-square tests, one-way analysis of variance, Pearson correlation analysis, and binary logistic regression were employed to identify the influencing factors of near-miss events in nursing information system tasks. RESULTS: The study found that 52.78% (692/1,311) of clinical nurses had experienced near-miss events of nursing information system tasks in the past three months. Among them, information transmission is the most vulnerable process (931 occurrences)...