Attitudes toward complication and near-miss reporting and the perceived reporting-feedback environment among anaesthesia team members in Türkiye: an exploratory cross-sectional online survey

Abstract Background Incident and near-miss reporting supports organisational learning and patient safety. We described anaesthesia team members' attitudes to reporting, perceived systemic and psychological barriers, and the institutional reporting-feedback environment, and explored factors associated with receiving feedback often or always. Methods In this cross-sectional online survey, 422 anaesthesia team members were recruited by convenience sampling. A study-specific 23-item Likert questionnaire was analysed at item level and was not treated as a validated scale. Because actual reporting behaviour was not measured and no verifiable skip logic restricted the feedback question to participants who had submitted a report, often/always feedback was interpreted as a marker of the perceived reporting-feedback environment. Analyses included multivariable logistic regression, Firth penalised logistic regression, five-category ordinal logistic sensitivity analysis, alternative three-category coding of reporting-system status, 2,000-resample bootstrap internal validation, and professional-role comparisons with Holm correction. Results The sample included 194 anaesthesiologists (46.0%), 157 anaesthesia technicians/technologists (37.2%), and 71 residents (16.8%). A formal reporting system was reported by 67.3% and formal training by 52.4%; 36.7% reported receiving feedback often or always. In the primary model, formal system availability (aOR 7.98, 95% CI 3.61–17.65) and formal training (aOR 2.44, 95% CI 1.38–4.32) were associated with regular feedback. Firth estimates were similar (OR 7.23 and 2.35, respectively), and the ordinal model showed concordant associations (OR 5.86 and 3.42). The optimism-corrected AUC was 0.779 and Brier score 0.184. After Holm correction, 19 of 23 items differed across professional roles. Conclusions Anaesthesia team members strongly supported incident reporting, but concerns about blame and legal or administrative consequences, workload, hierarchy, and limited feedback remained common. Formal reporting systems and training were associated with a more favourable perceived reporting-feedback environment, not directly measured reporting behaviour. Findings are exploratory and should be interpreted in light of the cross-sectional convenience sample and non-validated study-specific questionnaire.