dc.contributor.author	Hegarty, Josephine
dc.contributor.author	Flaherty, Sarah Jane
dc.contributor.author	Saab, Mohamad M.
dc.contributor.author	Goodwin, John
dc.contributor.author	Walshe, Nuala
dc.contributor.author	Wills, Teresa
dc.contributor.author	McCarthy, Vera J. C.
dc.contributor.author	Murphy, Siobhan
dc.contributor.author	Cutliffe, Alana
dc.contributor.author	Meehan, Elaine
dc.contributor.author	Landers, Ciara
dc.contributor.author	Lehane, Elaine
dc.contributor.author	Lane, Aoife
dc.contributor.author	Landers, Margaret
dc.contributor.author	Kilty, Caroline
dc.contributor.author	Madden, Deirdre
dc.contributor.author	Tumelty, Mary
dc.contributor.author	Naughton, Corina
dc.contributor.funder	An Roinn Sláinte	en
dc.date.accessioned	2022-05-09T11:13:30Z
dc.date.available	2022-05-09T11:13:30Z
dc.date.issued	2020-04
dc.date.updated	2022-05-09T11:01:13Z
dc.description.abstract	Objectives: Patients are unintentionally, yet frequently, harmed in situations that are deemed preventable. Incident reporting systems help prevent harm, yet there is considerable variability in how patient safety incidents are reported. This may lead to inconsistent or unnecessary patterns of incident reporting and failures to identify serious patient safety incidents. This systematic review aims to describe international approaches in relation to defining serious reportable patient safety incidents. Methods: Multiple electronic and gray literature databases were searched for articles published between 2009 and 2019. Empirical studies, reviews, national reports, and policies were included. A narrative synthesis was conducted because of study heterogeneity. Results: A total of 50 articles were included. There was wide variation in the terminology used to represent serious reportable patient safety incidents. Several countries defined a specific subset of incidents, which are considered sufficiently serious, yet preventable if appropriate safety measures are taken. Terms such as “never events,” “serious reportable events,” or “always review and report” were used. The following dimensions were identified to define a serious reportable patient safety incident: (1) incidents being largely preventable; (2) having the potential for significant learning; (3) causing serious harm or have the potential to cause serious harm; (4) being identifiable, measurable, and feasible for inclusion in an incident reporting system; and (5) running the risk of recurrence. Conclusions: Variations in terminology and reporting systems between countries might contribute to missed opportunities for learning. International standardized definitions and blame-free reporting systems would enable comparison and international learning to enhance patient safety.	en
dc.description.status	Peer reviewed	en
dc.description.version	Published Version	en
dc.format.mimetype	application/pdf	en
dc.identifier.citation	Hegarty, J., Flaherty, S. J., Saab, M. M., Goodwin, J., Walshe, N., Wills, T., McCarthy, V. J. C., Murphy, S., Cutliffe, A., Meehan, E., Landers, C., Lehane, E., Lane, A., Landers, M., Kilty, C., Madden, D., Tumelty, M. and Naughton, C. (2020) 'An international perspective on definitions and terminology used to describe serious reportable patient safety incidents: A systematic review', Journal of Patient Safety, 17(8), pp. p e1247-e1254. doi: 10.1097/PTS.0000000000000700	en
dc.identifier.doi	10.1097/PTS.0000000000000700	en
dc.identifier.endpage	e1254	en
dc.identifier.issn	1549-8425
dc.identifier.issn	1549-8417
dc.identifier.issued	8	en
dc.identifier.journaltitle	Journal of Patient Safety	en
dc.identifier.startpage	e1247	en
dc.identifier.uri	https://hdl.handle.net/10468/13154
dc.identifier.volume	17	en
dc.language.iso	en	en
dc.publisher	Wolters Kluwer Health, Inc.	en
dc.rights	© 2020, The Authors. Published by Wolters Kluwer Health, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.	en
dc.rights.uri	https://creativecommons.org/licenses/by-nc-nd/4.0/	en
dc.subject	Patient safety	en
dc.subject	Adverse event	en
dc.subject	Serious incident	en
dc.subject	Reporting	en
dc.subject	Systematic review	en
dc.title	An international perspective on definitions and terminology used to describe serious reportable patient safety incidents: A systematic review	en
dc.type	Article (peer-reviewed)	en

An international perspective on definitions and terminology used to describe serious reportable patient safety incidents: A systematic review

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