Understanding nurses' experiences with near-miss error reporting omissions in large hospitals.

This study demonstrated that near-miss errors and report omissions experienced by professional nurses could be merged into the following themes: lack of cognitive susceptibility to near-miss errors; confusion about the reporting system for near-miss errors; lack of knowledge about near-miss errors; disappointment with results of reporting near-miss errors; and fear of reporting near-miss errors. These results strongly suggest the need to improve recognition efforts based on a socio-educational viewpoint involving the so-called openness about failures.