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Development of an error classification system for Malaysian primary care

Abd Raman, Nuur Asikin and Taib, Ibrahim Adham and Draman, Samsul (2018) Development of an error classification system for Malaysian primary care. Human Factors and Ergonomics Journal, 3 (2). pp. 35-43.

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Abstract

Worldwide, medical errors occur at an unacceptable rate. Fortunately, various steps can be taken to minimise medical errors, including submitting reports to incident reporting systems, following which incidents can be categorised using error classification systems to inform risk management strategies. To this end, a diverse range of classification systems have been developed for different healthcare settings, but primary care in Malaysia has received limited attention. This study was carried out to develop an error classification system for categorising the type of medical errors in Malaysian primary care by integrating and modifying two primary care error classification systems. The new error classification system comprised of eleven major categories that branched into a total of 60 lower categories. After 107 participants analysed three cases studies, the inter-rater reliability of the 11 major categories were found to be low (Krippendorff‘s alpha = 0.347). Unsurprisingly, the 60 lower categories had an even lower inter-rater reliability (Krippendorff‘s alpha = 0.143). The participants then provided feedback about the error classification system by completing a modified questionnaire. Most of the participants viewed the error classification system as easy to use and understand. Furthermore, most of them would be willing to use the error classification system again in the future. In summary, this study successfully developed an error classification system for Malaysian primary care. Nevertheless, its low level of reliability would need to be addressed before the system can be adopted by primary care providers.

Item Type: Article (Journal)
Additional Information: 4267/70543
Uncontrolled Keywords: Error Classification System, Medical Error, Primary Care, Patient Safety
Subjects: R Medicine > R Medicine (General)
T Technology > TA Engineering (General). Civil engineering (General) > TA166 Human engineering
Kulliyyahs/Centres/Divisions/Institutes: Kulliyyah of Allied Health Sciences
Kulliyyah of Allied Health Sciences > Department of Biomedical Science (Effective:1st July 2011)
Kulliyyah of Medicine
Kulliyyah of Medicine > Department of Family Medicine (Effective: 1st January 2011)
Depositing User: Dr Ibrahim Adham Taib
Date Deposited: 27 Feb 2019 16:23
Last Modified: 12 Jul 2019 16:27
URI: http://irep.iium.edu.my/id/eprint/70543

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