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The British Journal of General Practice logoLink to The British Journal of General Practice
. 2001 Jan;51(462):57–60.

Setting up a database of medical error in general practice: conceptual and methodological considerations.

A Sheikh 1, B Hurwitz 1
PMCID: PMC1313902  PMID: 11271876

Abstract

Though common and the cause of much morbidity and health cost, medical error has until recently attracted little attention from primary care workers. A database that logs medical error, operating within the context of clinical governance initiatives at the level of Primary Care Groups, could provide an appropriate framework within which to scrutinise and identify systematic organisational features associated with risk of serious adverse events. This paper discusses some of the key conceptual and methodological issues that need to be resolved before such a database can be implemented in general practice and considers these deliberations in the light of the Chief Medical Officer for England's recent report, An organisation with a memory.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Andrews L. B., Stocking C., Krizek T., Gottlieb L., Krizek C., Vargish T., Siegler M. An alternative strategy for studying adverse events in medical care. Lancet. 1997 Feb 1;349(9048):309–313. doi: 10.1016/S0140-6736(96)08268-2. [DOI] [PubMed] [Google Scholar]
  2. Baker R. Learning from complaints about general practitioners. BMJ. 1999 Jun 12;318(7198):1567–1568. doi: 10.1136/bmj.318.7198.1567. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Barach P., Small S. D. Reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems. BMJ. 2000 Mar 18;320(7237):759–763. doi: 10.1136/bmj.320.7237.759. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Bates D. W., Cullen D. J., Laird N., Petersen L. A., Small S. D., Servi D., Laffel G., Sweitzer B. J., Shea B. F., Hallisey R. Incidence of adverse drug events and potential adverse drug events. Implications for prevention. ADE Prevention Study Group. JAMA. 1995 Jul 5;274(1):29–34. [PubMed] [Google Scholar]
  5. Berwick D. M., Leape L. L. Reducing errors in medicine. BMJ. 1999 Jul 17;319(7203):136–137. doi: 10.1136/bmj.319.7203.136. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Bratman R. L. A national database of medical error. J R Soc Med. 2000 Feb;93(2):106–106. doi: 10.1177/014107680009300220. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Brennan T. A., Leape L. L., Laird N. M., Hebert L., Localio A. R., Lawthers A. G., Newhouse J. P., Weiler P. C., Hiatt H. H. Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. N Engl J Med. 1991 Feb 7;324(6):370–376. doi: 10.1056/NEJM199102073240604. [DOI] [PubMed] [Google Scholar]
  8. Cohen M. R. Why error reporting systems should be voluntary. BMJ. 2000 Mar 18;320(7237):728–729. doi: 10.1136/bmj.320.7237.728. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Helmreich R. L. On error management: lessons from aviation. BMJ. 2000 Mar 18;320(7237):781–785. doi: 10.1136/bmj.320.7237.781. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Horton R. The uses of error. Lancet. 1999 Feb 6;353(9151):422–423. doi: 10.1016/S0140-6736(99)00036-7. [DOI] [PubMed] [Google Scholar]
  11. Leape L. L., Lawthers A. G., Brennan T. A., Johnson W. G. Preventing medical injury. QRB Qual Rev Bull. 1993 May;19(5):144–149. doi: 10.1016/s0097-5990(16)30608-x. [DOI] [PubMed] [Google Scholar]
  12. Sheikh A., Hurwitz B. A national database of medical error. J R Soc Med. 1999 Nov;92(11):554–555. doi: 10.1177/014107689909201104. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Sheikh A., Hurwitz B. Reducing error, improving safety. Log of errors is needed. BMJ. 2000 Aug 19;321(7259):505–505. [PubMed] [Google Scholar]
  14. Vincent C. Risk, safety, and the dark side of quality. BMJ. 1997 Jun 21;314(7097):1775–1776. doi: 10.1136/bmj.314.7097.1775. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Vincent C., Stanhope N., Crowley-Murphy M. Reasons for not reporting adverse incidents: an empirical study. J Eval Clin Pract. 1999 Feb;5(1):13–21. doi: 10.1046/j.1365-2753.1999.00147.x. [DOI] [PubMed] [Google Scholar]
  16. Vincent C., Taylor-Adams S., Stanhope N. Framework for analysing risk and safety in clinical medicine. BMJ. 1998 Apr 11;316(7138):1154–1157. doi: 10.1136/bmj.316.7138.1154. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Weingart S. N., Wilson R. M., Gibberd R. W., Harrison B. Epidemiology of medical error. BMJ. 2000 Mar 18;320(7237):774–777. doi: 10.1136/bmj.320.7237.774. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Wilson R. M., Runciman W. B., Gibberd R. W., Harrison B. T., Newby L., Hamilton J. D. The Quality in Australian Health Care Study. Med J Aust. 1995 Nov 6;163(9):458–471. doi: 10.5694/j.1326-5377.1995.tb124691.x. [DOI] [PubMed] [Google Scholar]
  19. Wu A. W. Medical error: the second victim. The doctor who makes the mistake needs help too. BMJ. 2000 Mar 18;320(7237):726–727. doi: 10.1136/bmj.320.7237.726. [DOI] [PMC free article] [PubMed] [Google Scholar]

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