SynthesisThe Cochrane database of systematic reviews2012
Interventions to increase clinical incident reporting in health care.
Synthesis in The Cochrane database of systematic reviews, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled 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.
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
19 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Developing a new clinical governance framework for chronic diseases in primary care: an umbrella review.BMJ open · 2018Pooled it
- Delivery arrangements for health systems in low-income countries: an overview of systematic reviews.The Cochrane database of systematic reviews · 2017Pooled it
- Interventions to increase the reporting of occupational diseases by physicians.The Cochrane database of systematic reviews · 2015Pooled it
- The Safety Action Feedback and Engagement (SAFE) Loop: Initial Testing and Refinement of a Novel Intervention to Enhance Hospital Incident Reporting and Patient Safety.Journal of patient safety · 2026Article
- The Safety Action Feedback and Engagement (SAFE) Loop: Initial Testing and Refinement of a Novel Intervention to Enhance Hospital Incident Reporting and Patient Safety.medRxiv : the preprint server for health sciences · 2025Article
- Implementation of a novel TRIZ-based model to increase the reporting of adverse events in the healthcare center.Scientific reports · 2024Article
- Barriers to Incident Reporting by Physicians: A Survey of Surgical Residents and Attending Physicians.Cureus · 2024Article
- Practice, perceived barriers and motivating factors to medical-incident reporting: a cross-section survey of health care providers at Mbarara regional referral hospital, southwestern Uganda.BMC health services research · 2020Article
- A retrospective analysis of 62,571 cases of perioperative adverse events in thoracic surgery at a tertiary care teaching hospital in a developing country.Journal of cardiothoracic surgery · 2019Article
- Performance measures for endoscopy services: A European Society of Gastrointestinal Endoscopy (ESGE) quality improvement initiative.United European gastroenterology journal · 2019Review
- Improving critical incident reporting in primary care through education and involvement.BMJ open quality · 2019Article
- SafetyNET Community-based patient safety initiatives: development and application of a Patient Safety and Quality Improvement Survey.The Journal of the Canadian Chiropractic Association · 2018Article
- Experiences from ten years of incident reporting in health care: a qualitative study among department managers and coordinators.BMC health services research · 2018Article
- Evidence gap map of performance measurement and management in primary care delivery systems in low- and middle-income countries - Study protocol.Gates open research · 2018Article
- Improving reporting of critical incidents through education and involvement.BMJ quality improvement reports · 2015Article
- Learning without Borders: A Review of the Implementation of Medical Error Reporting in Médecins Sans Frontières.PloS one · 2015Review
- The impact of a standardized incident reporting system in the perioperative setting: a single center experience on 2,563 'near-misses' and adverse events.Patient safety in surgery · 2014Article
- Perioperative practitioners' experiences of critical incident debriefing: A qualitative explorative study.Journal of perioperative practiceArticle
- Implementing HRO Principles under Stress: A Hospital's Journey toward High Reliability.Pediatric quality & safetyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundReporting of adverse clinical events is thought to be an effective method of improving the safety of healthcare. Underreporting of these adverse events is often said to occur with consequence of missing of opportunities to learn from these incidents. A clinical incident can be defined as any occurrence which is not consistent with the routine care of the patient or the routine operation of the institution.
objectivesTo assess the effects of interventions designed to increase clinical incident reporting in healthcare settings. SEARCH
methodsWe searched the the following databases: Cochrane Effective Practice and Organisation of Care Group Specialised Register, the Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE (OVID), EMBASE (OVID), CINAHL (EBSCO), Social Science Citation Index and Science Citation Index (Web of Knowledge), Healthstar (OVID), INSPEC, DHSS-DATA, SIGLE, ISI Conference Proceedings, Web of Science Conference Proceedings Citation Index (Science), Database of Abstracts of Reviews of Effectiveness (DARE). SELECTION CRITERIA: Randomised controlled trials (RCT), controlled before-after studies (CBA) and interrupted time series (ITS) of interventions designed to increase clinical incident reporting in healthcare. DATA COLLECTION AND ANALYSIS: At least two review authors assessed the eligibility of potentially relevant studies, extracted the data and assessed the quality of included studies. MAIN
resultsFour studies (one CBA and three ITS studies) met our inclusion criteria and were included in the review. The CBA study showed a significant improvement in incident reporting rates after the introduction of the new reporting system. Just one of the ITS studies showed a statistically significant improved effectiveness of the new reporting system from nine months. The other two studies reported no statistically significant improvements. AUTHORS'
conclusionsBecause of the limitations of the studies it is not possible to draw conclusions for clinical practice. Anyone introducing a system into practice should give careful consideration to conducting an evaluation using a robust design.
Indexed as
Identifiers
What OpenQuestion holds
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.