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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

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Nursing near miss: a concept analysis.

Dan Zhou¹, Sisi Guo², Qin Tan²

¹Deyang People's Hospital, Deyang, China. 282427573@qq.com.

|December 2, 2025

Summary

This summary is machine-generated.

Nursing near misses, errors that don't harm patients, are key to improving safety. Understanding their attributes and causes helps prevent future harm and enhance nursing care quality.

Keywords:

Concept analysis Nursing near miss Patient safety Quality management

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Area of Science:

Nursing
Patient Safety
Healthcare Quality Management

Background:

Nursing near misses are vital patient safety indicators but lack consistent definition and recognition.
Variability in understanding nursing near misses hinders effective reporting and management.
Concept analysis is needed to clarify nursing near misses for improved practice.

Purpose of the Study:

To define nursing near misses, including their attributes, antecedents, and consequences.
To clarify the concept of nursing near misses using a structured methodology.
To enhance the understanding and application of nursing near miss analysis.

Main Methods:

Employed Walker and Avant's eight-step concept analysis framework.
Conducted a comprehensive literature search in English and Chinese databases.
Systematically reviewed and synthesized selected studies.

Main Results:

Defined nursing near misses by four attributes: occurring in the nursing process, error without harm, prevention of adverse outcomes, and reflection of underlying risks.
Identified antecedents including individual, organizational, and environmental factors.
Recognized consequences as both negative and positive outcomes, with proposed empirical referents for management.

Conclusions:

This analysis provides a clearer definition of nursing near misses.
Facilitates early recognition and prevention of low-risk nursing errors.
Supports evidence-based strategies to improve nursing safety and quality.