Analysing Medical Incident Reports by Use of a Human Error Taxonomy

  • Kenji Itoh
  • Henning Boje Andersen
Conference paper


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.


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.


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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

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