Evidence map›Paper›PMID 14645760›Full record

ArticleQuality & safety in health care2003

Errors in general practice: development of an error classification and pilot study of a method for detecting errors.

G Rubin, A George, D J Chinn, C Richardson

Open access · bronzeAbstract read
In one paragraph

Article in Quality & safety in health care, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
8.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 154 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Review
  8. Association of GP wellbeing and burnout with patient safety in UK primary care: a cross-sectional survey.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Participatory design of a preliminary safety checklist for general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015
    Article
  15. Article
  16. Risk factors for patient-reported medical errors in eleven countries.Health expectations : an international journal of public participation in health care and health policy · 2014
    Article
  17. Article
  18. A new approach to identify, classify and count drug-related events.British journal of clinical pharmacology · 2013
    Article
  19. Clinical errors and medical negligence.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2013
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

G RubinCentre for Primary and Community Care, University of Sunderland, Sunderland, UK. greg.rubin@sunderland.ac.uk
A George
D J Chinn
C Richardson
University of Sunderland · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe a classification of errors and to assess the feasibility and acceptability of a method for recording staff reported errors in general practice.

designAn iterative process in a pilot practice was used to develop a classification of errors. This was incorporated in an anonymous self-report form which was then used to collect information on errors during June 2002. The acceptability of the reporting process was assessed using a self-completion questionnaire.

settingUK general practice.

participantsTen general practices in the North East of England.

main outcome measuresClassification of errors, frequency of errors, error rates per 1000 appointments, acceptability of the process to participants.

results101 events were used to create an initial error classification. This contained six categories: prescriptions, communication, appointments, equipment, clinical care, and "other" errors. Subsequently, 940 errors were recorded in a single 2 week period from 10 practices, providing additional information. 42% (397/940) were related to prescriptions, although only 6% (22/397) of these were medication errors. Communication errors accounted for 30% (282/940) of errors and clinical errors 3% (24/940). The overall error rate was 75.6/1000 appointments (95% CI 71 to 80). The method of error reporting was found to be acceptable by 68% (36/53) of respondents with only 8% (4/53) finding the process threatening.

conclusionWe have developed a classification of errors and described a practical and acceptable method for reporting them that can be used as part of the process of risk management. Errors are common and, although all have the potential to lead to an adverse event, most are administrative.

Indexed as

Attitude of Health PersonnelForms and Records ControlEnglandFamily PracticeFeasibility StudiesHumansMedical ErrorsPilot ProjectsRisk ManagementSurveys and Questionnaires

Identifiers

PMID14645760
PMCPMC1758031
OpenAlexW2146359953

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.