Advertisement

Analysing Medical Incident Reports by Use of a Human Error Taxonomy

  • Kenji Itoh
  • Henning Boje Andersen
Conference paper

Abstract

The present paper describes analysis results of incident reports collected from three Japanese hospitals. We developed a medical incident taxonomy by adapting an existing scheme in air traffic management. Its application allowed us to elicit characteristics of adverse events and errors that have occurred in health care. The taxonomy was evaluated in terms of inter-rater reliability by use of raw agreement and a tentative measure of chance corrected agreement between two judges.

Keywords

Incident Report Medical Incident Medical Document Task Dimension Task Factor 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Shorrock, S.T. and Kirwan, B. Development and application of a human error identification tool for air traffic control, Applied Ergonomics, 2002; 33(4): 319–336.CrossRefGoogle Scholar
  2. 2.
    Cohen, J. A coefficient of agreement for nominal scales. Educational and Psychological Measurements. 1960; 20: 37–46.CrossRefGoogle Scholar
  3. 3.
    Rasmussen, J. What can be learned from human error reports? In K. Duncan, M. Gruneberg and D. Wallis (Eds.), Changes in working life. Wiley, London, 1980.Google Scholar

Copyright information

© Springer-Verlag London 2004

Authors and Affiliations

  • Kenji Itoh
    • 1
  • Henning Boje Andersen
    • 2
  1. 1.Tokyo Institute of TechnologyTokyoJapan
  2. 2.Risø National LaboratoryRoskildeDenmark

Personalised recommendations