Harm and Reporting

Incident follow-up procedures differed across organisations. People who did not access the two centres were not captured in the study. The study likely underestimates the true burden of sexual violence because it used records from two healthcare centres. Intimate partner sexual violence is especially likely to be under-represented because survivors face barriers to disclosure. PRISMA was the most commonly cited incident analysis method, but several participants were unsure what method their organisation used. Pandemic conditions affected who could seek care and when. Sustainable fall prevention improvement depends on shared responsibility rather than procedural interventions alone. A non-punitive reporting environment was described as foundational for sustaining proactive safety behaviour. Interactive education, open communication, and emotional engagement were described as necessary for building safety culture. Professional recognition and incentives were identified as important for nurses' intrinsic motivation to prevent falls. Most reported medication error cases caused no harm. Interviewees reported that encountered errors caused no harm because they were intercepted before re…