Identifying hazards for psychological harm in cancer care using incident reports: searching for the invisible

This study suggests that while incident databases do contain reported hazards for primary PPH, it is likely that they are largely under represented. In line with existing research, we found hazards for PPH such as privacy or autonomy violations. Well-known safety hotspots, such as patient transfers, may pose hazards for psychological harm, suggesting that designing strong organizational practices may help prevent psychological harm. Future research needs to use other data sources and shed light on various perspectives to learn more about the variety of PPH, its causes, and potential consequences and preventive measures.