Exploring the knowledge gaps and reporting procedures for adverse events among professional nurses: evidence from Mopani district, Limpopo province, South Africa

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Background Adverse events refer to incidents or mistakes that cause harm to patients due to medical management, rather than being a result of the patient's illness or its complications. These events can occur at any point during the care process. Reporting adverse events is a key strategy in their prevention, and having a clear understanding of what qualifies as an adverse event, along with the correct reporting procedures, is essential for ensuring effective reporting practices. Aim This study explored the extent to which professional nurses at selected public hospitals in Mopani District, Limpopo Province, South Africa understand adverse events and the reporting procedures of adverse events. Method A qualitative exploratory-descriptive design was employed. Data were collected through in-depth, semi-structured interviews with 26 professional nurses, selected using purposive sampling. Data were analysed thematically using both deductive and Tesch's open coding method. Results While most participants demonstrated awareness of adverse events and reporting processes, notable knowledge gaps were identified. Some participants did not understand what constitute an adverse event and conflated adverse events with near misses. Additionally, inconsistencies regarding reporting procedures, responsible personnel for reporting and reporting timelines were evident. Conclusion The study revealed insufficient knowledge among professional nurses regarding adverse events, reporting procedures, and different types of patient safety incidents. To address these gaps, targeted educational interventions and reinforcement of standard operating procedures are recommended to enhance reporting practices and promote patient safety.

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