{"id":"https://openalex.org/W1986702102","doi":"https://doi.org/10.1046/j.1365-2753.1999.00146.x","title":"An evaluation of adverse incident reporting","display_name":"An evaluation of adverse incident reporting","publication_year":1999,"publication_date":"1999-02-01","ids":{"openalex":"https://openalex.org/W1986702102","doi":"https://doi.org/10.1046/j.1365-2753.1999.00146.x","mag":"1986702102","pmid":"https://pubmed.ncbi.nlm.nih.gov/10468379"},"language":"en","primary_location":{"id":"doi:10.1046/j.1365-2753.1999.00146.x","doi":"https://doi.org/10.1046/j.1365-2753.1999.00146.x","is_oa":false,"landing_page_url":"https://doi.org/10.1046/j.1365-2753.1999.00146.x","pdf_url":null,"source":{"id":"https://openalex.org/S2713501","display_name":"Journal of Evaluation in Clinical Practice","issn_l":"1356-1294","issn":["1356-1294","1365-2753"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Evaluation in Clinical Practice","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Nicola Stanhope","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I45129253","display_name":"University College London","ror":"https://ror.org/02jx3x895","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I45129253"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Nicola Stanhope","raw_affiliation_strings":["Department of Psychology (Torrington Place), University College London, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychology (Torrington Place), University College London, UK","institution_ids":["https://openalex.org/I45129253"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5068674325","display_name":"Margaret Crowley\u2010Murphy","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I45129253","display_name":"University College London","ror":"https://ror.org/02jx3x895","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I45129253"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Margaret Crowley\u2010Murphy","raw_affiliation_strings":["Clinical Risk Unit, Department of Psychology (Torrington Place), University College London, London, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Risk Unit, Department of Psychology (Torrington Place), University College London, London, UK","institution_ids":["https://openalex.org/I45129253"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5006759461","display_name":"Charles A. Vincent","orcid":"https://orcid.org/0000-0003-0270-0222","observed_orcids":["https://orcid.org/0000-0003-0270-0222"]},"institutions":[{"id":"https://openalex.org/I45129253","display_name":"University College London","ror":"https://ror.org/02jx3x895","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I45129253"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Charles Vincent","raw_affiliation_strings":["Clinical Risk Unit, Department of Psychology (Torrington Place), University College London, London, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Risk Unit, Department of Psychology (Torrington Place), University College London, London, UK","institution_ids":["https://openalex.org/I45129253"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024548877","display_name":"Anne M. O\u2019Connor","orcid":"https://orcid.org/0000-0001-5925-4644","observed_orcids":["https://orcid.org/0000-0001-5925-4644"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Anne M O'Connor","raw_affiliation_strings":["Risk Manager, The St Paul International Insurance Company, Redhill, Surrey, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Risk Manager, The St Paul International Insurance Company, Redhill, Surrey, UK","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5003355434","display_name":"Sally E. Taylor\u2010Adams","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I45129253","display_name":"University College London","ror":"https://ror.org/02jx3x895","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I45129253"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Sally E. Taylor\u2010Adams","raw_affiliation_strings":["Clinical Risk Unit, Department of Psychology (Torrington Place), University College London, London, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Risk Unit, Department of Psychology (Torrington Place), University College London, London, UK","institution_ids":["https://openalex.org/I45129253"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5006759461"],"corresponding_institution_ids":["https://openalex.org/I45129253"],"apc_list":{"value":4430,"currency":"USD","value_usd":4430},"apc_paid":null,"fwci":5.252,"has_fulltext":false,"cited_by_count":178,"citation_normalized_percentile":{"value":0.94995419,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":99},"biblio":{"volume":"5","issue":"1","first_page":"5","last_page":"12"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":0.9937000274658203,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":0.9937000274658203,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.0017000000225380063,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12339","display_name":"Medical Malpractice and Liability Issues","score":0.00139999995008111,"subfield":{"id":"https://openalex.org/subfields/3308","display_name":"Law"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/adverse-event-reporting","display_name":"adverse event reporting","score":0.9909999966621399},{"id":"https://openalex.org/keywords/clinical-risk-management","display_name":"clinical risk management","score":0.6700000166893005},{"id":"https://openalex.org/keywords/maternity-care","display_name":"obstetric care","score":0.7730000019073486},{"id":"https://openalex.org/keywords/medication-errors","display_name":"medication errors","score":0.9129999876022339},{"id":"https://openalex.org/keywords/incident-severity","display_name":"incident severity","score":0.3160000145435333},{"id":"https://openalex.org/keywords/maternity-ward","display_name":"maternity ward","score":0.546999990940094},{"id":"https://openalex.org/keywords/continuing-education","display_name":"continuing education","score":0.34700000286102295}],"concepts":[{"id":"https://openalex.org/C2909164965","wikidata":"https://www.wikidata.org/wiki/Q6014597","display_name":"Incident report","level":2,"score":0.6697319746017456},{"id":"https://openalex.org/C206713868","wikidata":"https://www.wikidata.org/wiki/Q1674639","display_name":"Near miss","level":2,"score":0.6500087380409241},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6384340524673462},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.5792263150215149},{"id":"https://openalex.org/C32896092","wikidata":"https://www.wikidata.org/wiki/Q189447","display_name":"Risk management","level":2,"score":0.5293859839439392},{"id":"https://openalex.org/C2777146004","wikidata":"https://www.wikidata.org/wiki/Q14949826","display_name":"CLARITY","level":2,"score":0.513435959815979},{"id":"https://openalex.org/C122637931","wikidata":"https://www.wikidata.org/wiki/Q118084","display_name":"Unit (ring theory)","level":2,"score":0.5124550461769104},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.5084189772605896},{"id":"https://openalex.org/C197934379","wikidata":"https://www.wikidata.org/wiki/Q2047938","display_name":"Adverse effect","level":2,"score":0.4944581985473633},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.47266969084739685},{"id":"https://openalex.org/C12174686","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk assessment","level":2,"score":0.42637479305267334},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.37844452261924744},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.2161276936531067},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.14942964911460876},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.14615827798843384},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.14094576239585876},{"id":"https://openalex.org/C38652104","wikidata":"https://www.wikidata.org/wiki/Q3510521","display_name":"Computer security","level":1,"score":0.12367391586303711},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.09515932202339172},{"id":"https://openalex.org/C77595967","wikidata":"https://www.wikidata.org/wiki/Q3151013","display_name":"Forensic engineering","level":1,"score":0.0909116268157959},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0858607292175293},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C185592680","wikidata":"https://www.wikidata.org/wiki/Q2329","display_name":"Chemistry","level":0,"score":0.0},{"id":"https://openalex.org/C55493867","wikidata":"https://www.wikidata.org/wiki/Q7094","display_name":"Biochemistry","level":1,"score":0.0},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.0},{"id":"https://openalex.org/C145420912","wikidata":"https://www.wikidata.org/wiki/Q853077","display_name":"Mathematics education","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D003142","descriptor_name":"Communication","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006113","descriptor_name":"United Kingdom","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006753","descriptor_name":"Hospital Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007049","descriptor_name":"Iatrogenic Disease","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D008508","descriptor_name":"Medication Errors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009775","descriptor_name":"Obstetrics and Gynecology Department, Hospital","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D009775","descriptor_name":"Obstetrics and Gynecology Department, Hospital","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012308","descriptor_name":"Risk Management","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D019300","descriptor_name":"Medical Errors","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1046/j.1365-2753.1999.00146.x","doi":"https://doi.org/10.1046/j.1365-2753.1999.00146.x","is_oa":false,"landing_page_url":"https://doi.org/10.1046/j.1365-2753.1999.00146.x","pdf_url":null,"source":{"id":"https://openalex.org/S2713501","display_name":"Journal of Evaluation in Clinical Practice","issn_l":"1356-1294","issn":["1356-1294","1365-2753"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Evaluation in Clinical Practice","raw_type":"journal-article"},{"id":"pmid:10468379","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10468379","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of evaluation in clinical practice","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9476000070571899,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320311087","display_name":"Human Resources Research Institute","ror":"https://ror.org/00w4m9556"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":9,"referenced_works":["https://openalex.org/W1534347416","https://openalex.org/W1990083446","https://openalex.org/W2050092575","https://openalex.org/W2081219706","https://openalex.org/W2125534197","https://openalex.org/W2322893850","https://openalex.org/W2329642267","https://openalex.org/W2344335470","https://openalex.org/W2403744365"],"related_works":["https://openalex.org/W2138067934","https://openalex.org/W2101846088","https://openalex.org/W2161015778","https://openalex.org/W3214914508","https://openalex.org/W4391448860","https://openalex.org/W2403744365","https://openalex.org/W2548552955","https://openalex.org/W2155513146","https://openalex.org/W2412347837","https://openalex.org/W2131575060"],"abstract_inverted_index":{"To":[0],"examine":[1],"the":[2,15,38,58,67,74,87,107,116,139,146,154,187,210,240,248,262],"reliability":[3],"of":[4,14,24,29,40,46,60,76,89,100,113,126,153,169,213,250,266,282],"adverse":[5,41,61,102],"incident-reporting":[6],"systems":[7,200],"we":[8],"carried":[9],"out":[10],"a":[11,22,120,191,226],"retrospective":[12,94,132],"review":[13,134],"mother":[16],"and":[17,86,115,135,190,264,270,273],"baby":[18],"case":[19,95],"notes":[20],"from":[21,106],"series":[23],"250":[25],"deliveries":[26],"in":[27,51,239],"each":[28,72,80],"two":[30,183],"London":[31],"obstetric":[32],"units.":[33],"Notes":[34],"were":[35,128,179,184,194],"screened":[36],"for":[37,286],"presence":[39],"incidents":[42,47,62,77,90,103,127,148,171,252],"defined":[43],"by":[44,64,79,93,131,196],"lists":[45],"to":[48,66,138,186,233,278],"be":[49,234,276],"reported":[50,63,111,143],"accordance":[52],"with":[53,284],"unit":[54],"protocols.":[55],"We":[56],"assessed":[57],"percentage":[59,75,88],"staff":[65,173,283],"maternity":[68],"risk":[69,81,117,140,163,188,218,268],"manager":[70,219],"at":[71],"unit;":[73],"detected":[78],"manager,":[82],"but":[83,150,207],"not":[84,136,175],"reported;":[85],"identified":[91,105,119,129,165],"only":[92,130,182],"note":[96],"review.":[97,198],"A":[98],"total":[99],"196":[101],"was":[104],"500":[108],"deliveries.":[109],"Staff":[110,142,256],"23%":[112],"these":[114],"managers":[118,164,189],"further":[121,192],"22%.":[122],"The":[123,162],"remaining":[124],"55%":[125],"case-note":[133,197],"known":[137,185],"manager.":[141],"about":[144,261],"half":[145],"serious":[147,156,170],"(48%),":[149],"comparatively":[151],"few":[152],"moderately":[155],"(24%)":[157],"or":[158],"minor":[159],"ones":[160],"(15%).":[161],"an":[166,221],"additional":[167],"16%":[168],"that":[172],"did":[174],"report.":[176],"Drug":[177],"errors":[178],"analysed":[180],"separately;":[181],"44":[193],"found":[195],"Incident-reporting":[199],"may":[201],"produce":[202],"much":[203,236],"potentially":[204],"valuable":[205],"information,":[206],"seriously":[208],"underestimate":[209],"true":[211],"level":[212],"reportable":[214,251],"incidents.":[215],"Where":[216],"one":[217],"covers":[220],"entire":[222],"trust,":[223],"rather":[224],"than":[225,238],"single":[227],"unit,":[228],"reporting":[229,272],"rates":[230],"are":[231],"likely":[232],"very":[235],"lower":[237],"present":[241],"study.":[242],"Greater":[243],"clarity":[244],"is":[245],"needed":[246],"regarding":[247],"definition":[249],"(including":[253],"drug":[254],"errors).":[255],"should":[257,275],"receive":[258],"continuing":[259],"education":[260],"purposes":[263],"aims":[265],"clinical":[267],"management":[269],"incident":[271],"consideration":[274],"given":[277],"designating":[279],"specific":[280],"members":[281],"responsibility":[285],"reporting.":[287]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":3},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":4},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":5},{"year":2017,"cited_by_count":3},{"year":2016,"cited_by_count":6},{"year":2015,"cited_by_count":7},{"year":2014,"cited_by_count":8},{"year":2013,"cited_by_count":5},{"year":2012,"cited_by_count":10}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}