Patient Safety and Nursing Care Gaps in Conflict-Affected Health Facilities: Evidence from Frontline Nurses in Yemen

This project contains all data, materials, and documentation for the research study investigating patient safety in conflict-affected health facilities in Yemen. The study addresses critical evidence gaps regarding nursing-related patient safety risks in humanitarian crises through a cross-sectional survey of 400 frontline nurses across five conflict-affected governorates. Research Context · Setting: Public and private hospitals in active conflict zones in Yemen · Timeline: Data collected in 2025 · Population: 400 registered nurses working in inpatient and critical care units · Crisis Context: Protracted conflict with collapsed health systems, severe resource constraints Key Research Questions 1. What is the prevalence of patient safety incidents, medication errors, and missed nursing care in conflict-affected facilities? 2. What workforce, workload, and system-level factors independently predict adverse safety outcomes? 3. How do conflict-specific constraints (medication stockouts, PPE shortages) interact with traditional safety predictors? Methodological Innovation · First multivariable analysis of nursing-related patient safety determinants in active conflict zone · Integration of validated safety instruments (MISSCARE, HSOPSC, MBI-HSS) adapted for conflict setting · Mixed-methods design with quantitative surveys and qualitative open-ended responses · Advanced statistical modeling accounting for facility-level clustering Primary Findings · 55.3% of nurses reported patient safety incidents in past month · 45.5% reported medication errors · 60.3% reported missed essential nursing care · Strongest predictors: High nurse-patient ratios (aOR=2.31 for missed care), burnout (aOR=2.48 for medication errors), inadequate staffing (aOR=2.21 for incidents) · System failures: Medication stockouts (58.5%), no incident reporting systems (51.8%), lack of safety training (61.5%)