@article{article_1752361, title={Evaluation of the Approach to Near-Miss Events in Anesthesia Care}, journal={Harran Üniversitesi Tıp Fakültesi Dergisi}, volume={22}, pages={493–499}, year={2025}, DOI={10.35440/hutfd.1752361}, author={Eygi, Elif and Balkaya, Ayşe Neslihan and Bayrakçı, Onur}, keywords={Near-miss event, anesthesia, patient safety, emotional impact, reporting behavior}, abstract={Background: Ensuring patient safety is a fundamental principle in anesthesia practice. Near-miss events, defined as incidents that could have caused harm but did not, serve as valuable opportunities for learning and improving healthca-re systems. This study aimed to evaluate the approaches and emotional responses of anesthesia technicians and tech-nologists to near-miss events during anesthesia care.
Materials and Methods: This descriptive cross-sectional study was conducted between June 1, 2024, and August 1, 2024. A total of 300 anesthesia technicians and technologists were invited to participate. After excluding 98 incomplete or invalid questionnaires, 202 participants were included in the final analysis. Data were collected using a structured, self-administered questionnaire developed by the researchers based on relevant literature and expert opinion. The questionnaire consisted of four main sections: sociodemographic characteristics, exposure to near-miss events, emoti-onal and cognitive responses to these events, and approaches to reporting and institutional support mechanisms.
Results: Out of 202 participants, 150 individuals (74.3%) reported experiencing at least one near-miss event during their clinical practice. The most commonly reported events included difficult intubation, airway obstruction, and hy-poxia, all of which represent critical phases of anesthesia care. A statistically significant relationship was observed between years of professional experience and the likelihood of both encountering (p = 0.021) and reporting (p = 0.007) near-miss events. Emotional reactions to these incidents were also notable: those who reported more frequent exposu-re to near-miss events were significantly more likely to report feelings of professional inadequacy, guilt, anxiety, and fear (p < 0.05 for all comparisons). Notably, 82.3% of participants expressed a desire for formal training on near-miss identification, management, and reporting, underscoring a perceived gap in institutional preparedness and professional education.
Conclusions: Near-miss events are common in anesthesia practice and have significant emotional and professional implications. Structured training programs and institutional safety protocols are essential for enhancing patient safety culture and supporting anesthesia personnel.}, number={3}, publisher={Harran University}