Medication errors: How reliable are the severity ratings reported to the national reporting and learning system?

International Journal for Quality in Health Care

Volumn 21, Issue 5, 2009, Pages 316-320

  Williams, Steven D ^a,b   Ashcroft, Darren M ^a,b  

^a MANCHESTER UNIVERSITY NHS FOUNDATION TRUST   (United Kingdom)

^b UNIVERSITY OF MANCHESTER   (United Kingdom)

Author keywords

Drug errors; Incident reporting and analysis

Indexed keywords

ARTICLE; CONTROLLED STUDY; FEMALE; HEALTH CARE PERSONNEL; HUMAN; INCIDENT REPORT; MALE; MEDICATION ERROR; NATIONAL REPORTING AND LEARNING SYSTEM; NURSE PRACTITIONER; PHARMACIST; PHARMACY TECHNICIAN; PHYSICIAN; PRIORITY JOURNAL; RATING SCALE; SCORING SYSTEM; TEST RETEST RELIABILITY; UNITED KINGDOM;

ADULT; ATTITUDE OF HEALTH PERSONNEL; ENGLAND; FEMALE; HUMANS; LIKELIHOOD FUNCTIONS; MALE; MEDICATION ERRORS; NURSES; PHARMACISTS; PHARMACY SERVICE, HOSPITAL; PHYSICIANS; QUALITY ASSURANCE, HEALTH CARE; QUESTIONNAIRES; REPRODUCIBILITY OF RESULTS; RISK MANAGEMENT;

EID: 70349527871     PISSN: 13534505     EISSN: 14643677     Source Type: Journal    
DOI: 10.1093/intqhc/mzp034     Document Type: Article

References (16)

1. Kohn LT, Corrigan JM, Donaldson MS. To Err is Human. Washington, DC: National Academy Press, 1999.
2. Department of Health. An Organization with a Memory: A Report from an Expert Working Group on Learning from Adverse Events in the NHS London: Department of Health, 2000.
3. National Patient Safety Agency. Seven Steps to Patient Safety - your guide to safer patient care. London: NPSA, 2004.
4. National Patient Safety Agency. National Reporting and Learning System Data Summary Issue 7. London: NPSA, 2008.
5. National Patient Safety Agency. The fourth report from the Patient Safety Observatory Safety in doses: Medication safety incidents in the NHS. London: NPSA, 2007.
6. Lawton R, Parker D. Barriers to incident reporting in a healthcare system. Qual Saf Health Care 2006;15:196-201.
7. Kingston MJ, Evans SM, Smith BJ et al. Attitudes of doctors and nurses towards incident reporting: A qualitative analysis. Med J Aust 2004;329:12-3.
8. Ashcroft DM, Morecroft C, Parker D et al. Likelihood of reporting adverse events in community pharmacy: An experimental study. Qual Saf Health Care 2006;15:48-52.
9. Walshe K. Adverse events in healthcare: Issues in measurement. Qual Saf Health Care 2000;9:47-52.
10. Dean BS, Barber ND. A validated, reliable method of scoring the severity of medication errors. Am J Health Syst Pharm 1999;56:57-62.
11. Kunac DL, Reith DM, Kennedy J et al. Inter- and intra rater reliability for classification of medication related events in paediatric inpatients. Qual Saf Health Care 2006;15:48-52.
12. Forrey RA, Pederson CA, Schneider PJ. Interrater agreement with a standard scheme for classifying medication errors. Am J Health Syst Pharm 2007;64:175-81.
13. Ashcroft DM, Cooke J. Retrospective analysis of medication incidents reported using an on-line reporting system. Pharm World Sci 2006;28:359-65.
14. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1986;327:307-10.
15. Lawton R, Parker D. Barriers to incident reporting in a healthcare system. Qual Saf Health Care 2002;11:15-8.
16. Evans SM, Berry JG, Smith BJ et al. Attitudes and barriers to incident reporting: A collaborative hospital study. Qual Saf Health Care 2006;15:39-43.