Paper Title
THE RELATIONSHIP BETWEEN PATIENT SAFETY CULTURE AND THE INTENTIONS OF THE NURSING STAFF TO REPORT A NEAR-MISS EVENT DURING THE COVID-19 CRISIS

Abstract
Abstract: Background: Reporting a near-miss event has been associated with better patient safety culture. Purpose: We examined the relationship between patient safety culture and nurses’ intention to report a near-miss during the Covid-19 epidemic, and factors predicting that intention. Methods: This mixed-methods study was conducted in a tertiary medical center during the 3rd and 4th COVID-19 waves in 2020-2021 among 199 nurses working in Covid-dedicated departments. Results: Mean perception of patient safety culture was low overall. Whereas 77.4% of nurses intended to report a near-miss, only 20.1% actually did. Five factors predicted nurses’ intention to report a near-miss event; the model explains 20% of the variance. poor departmental organization can adversely affect the intention to report a near-miss event. Conclusions: Organizational learning, teamwork between hospital departments, transfers between departments and departmental disorganization can affect intention to report a near-miss and adversely affect patient safety culture during a health crisis.