ArticleQuality & safety in health care2005
Adverse events and near miss reporting in the NHS.
Article in Quality & safety in health care, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Measurement and monitoring patient safety in prehospital care: a systematic review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2021Pooled it
- Enhancing Patient Safety Event Reporting. A Systematic Review of System Design Features.Applied clinical informatics · 2017Pooled it
- Patient safety incidents are common in primary care: A national prospective active incident reporting survey.PloS one · 2017Trial
- Assessment of risk factors associated with trauma and prevention of falls in elderly patients in oral healthcare centers.Journal of education and health promotion · 2025Article
- Risk Management and Patient Safety in the Artificial Intelligence Era: A Systematic Review.Healthcare (Basel, Switzerland) · 2024Review
- Review
- Electronic unified therapy record as a clinical risk management tool in the Italian healthcare system.Frontiers in public health · 2022Article
- Article
- Identification of important factors in an inpatient fall risk prediction model to improve the quality of care using EHR and electronic administrative data: A machine-learning approach.International journal of medical informatics · 2020Article
- In-Hospital Patient Safety Events, Healthcare Costs and Utilization: An Analysis from the Incident Reporting System in an Academic Medical Center.Healthcare (Basel, Switzerland) · 2020Article
- Improving patient safety during intrahospital transportation of mechanically ventilated patients with critical illness.BMJ open quality · 2020Article
- Investigation of medical error-reporting system and reporting status in Iran in 2019.Journal of education and health promotion · 2020Article
- A prototype of knowledge-based patient safety event reporting and learning system.BMC medical informatics and decision making · 2018Article
- Patient-Centered Insights: Using Health Care Complaints to Reveal Hot Spots and Blind Spots in Quality and Safety.The Milbank quarterly · 2018Article
- Observational
- Patient safety and quality of care in mental health: a world of its own?BJPsych bulletin · 2017Article
- Initializing and Growing a Database of Health Information Technology (HIT) Events by Using TF-IDF and Biterm Topic Modeling.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2017Article
- Article
- A Novel Schema to Enhance Data Quality of Patient Safety Event Reports.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2016Article
- Feasibility of a stepped wedge cluster RCT and concurrent observational sub-study to evaluate the effects of modified ward night lighting on inpatient fall rates and sleep quality: a protocol for a pilot trial.Pilot and feasibility studies · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo conduct a multicentre study on adverse event and near miss reporting in the NHS and to explore the feasibility of creating a national system for collecting these data.
designProspective voluntary reporting by staff with anonymised transfer of data was used by a national system to collect data from 18 NHS trusts.
participantsStaff from 12 acute trusts, three mental health trusts, two ambulance trusts, and one primary care trust. MAIN OUTCOMES MEASURED: Number of incidents, date and time of incident, patient age and sex, clinical speciality, location, outcome, risk rating, type and description of incident.
resultsA total of 28 998 incidents were reported including 11 766 (41%) slips, trips and falls, 2514 (9%) medication management incidents, 2429 (8%) resource issues, and 2164 (7%) treatment issues. 138 catastrophic and 260 major adverse outcomes were reported. Slips, trips and falls (n = 11 766) were the most common type of incident.
conclusionsVoluntary reporting by staff when linked to a multicentre data collecting system can yield information on a large number of incidents. This provides support for the principle of creating a national IT system to collect and analyse incident data.
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Registered trials
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.