ArticleBMC nursing2025
Influencing factors of self-reported near-miss in clinical nursing information system tasks among nurses: a multicenter cross-sectional study.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Observational
- Hospital Digital Transformation, Nursing Data Burden, and Leadership and Governance Capacity: A Critical Narrative Review.Journal of nursing management · 2026Review
- Nursing near miss: a concept analysis.BMC nursing · 2025Article
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10 authors.
Funding
Abstract
backgroundClinical 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.
methodsThe 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.
resultsThe 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). The total score of nursing practice information competency was (57.78 ± 16.72), the total score of the clinical nursing information system effectiveness was (86.65 ± 18.99), and the total score of the workplace interruption was (21.45 ± 8.56). Logistic regression analysis revealed that nurses' professional titles, information management competency, work intensity, clinical teaching, system net benefits, and workplace interruptions were influencing factors for the occurrence of near-miss events in nursing information systems.
conclusionNear-misses in nursing information system tasks within healthcare information systems are prevalent and influenced by the personal circumstances of nurses, the effectiveness of the information system, and workplace interruptions. These findings underscore the importance of studying near-miss events in nursing information system tasks as sentinels for patient safety. Targeted interventions, including enhanced training in informatics, optimization of clinical information systems, and strategies to reduce workplace disruptions, are essential to prevent potential adverse events and improve patient safety. CLINICAL TRIAL NUMBER: Not applicable.
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