Incident Reporting and Patient Safety
Open accessAbstract
Reporting is useful, but more emphasis is needed on measurement and safety improvement programmes
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Approaches that invite reflection on system design, workflow integration, and organisational context are better suited to identifying recurrent patterns and informing preventive strategies.
“In contrast, approaches that invite reflection on system design, workflow integration, and organisational context are better suited to identifying recurrent patterns and informing preventive strategies (35, 52).”
From Why digital health fails silently: a sociotechnical theory of health information technology–related risk (2026) · cites this paper as [35]
The Abstract says incident reports are more valuable when interpreted by people who know the work and its context and can identify human-factors and organisational issues. It also calls for systematic measurement of known problems and safety improvement programmes. It does not specifically discuss workflow integration or establish that reflective approaches identify recurrent patterns better than other approaches. (LLM, conf=0.82)
Experimental — accuracy not yet measuredIncident reporting systems that implicitly frame events as individual mistakes may fail to capture sociotechnical contributing factors and discourage candid reporting.
“Incident reporting systems that implicitly frame events as individual mistakes may fail to capture sociotechnical contributing factors and discourage candid reporting.”
From Why digital health fails silently: a sociotechnical theory of health information technology–related risk (2026) · cites this paper as [35]
The Abstract (page unavailable) says incident reports need interpretation by people who understand the work and context and can identify human factors and organisational issues. This supports the concern that reporting may miss contributing factors, but our copy does not say that framing incidents as individual mistakes discourages candid reporting. (LLM, conf=0.84)
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Cited by
Sorted by citations
Lawton, R., McEachan, R. R. C., Giles, S. J., Sirriyeh, R., Watt, I. S., & Wright, J. (2012) · BMJ Quality & Safety · doi:10.1136/bmjqs-2011-000443 · Cited by 311 · see citing works
Brown, C., Hofer, T., Johal, A., Thomson, R., Nicholl, J., Franklin, B. D., & Lilford, R. J. (2008) · Quality and Safety in Health Care · doi:10.1136/qshc.2007.023655 · Cited by 100 · see citing works
Tuffrey-Wijne, I., Goulding, L., Gordon, V., Abraham, E., Giatras, N., Edwards, C., Gillard, S., & Hollins, S. (2014) · BMC Health Services Research · doi:10.1186/1472-6963-14-432 · Cited by 52 · see citing works
Why We Need to Know More: Exploring the State of AI Incident Documentation Practices
Turri, V., & Dzombak, R. (2023) · Proceedings of the 2023 AAAI/ACM Conference on AI, Ethics, and Society · doi:10.1145/3600211.3604700 · Cited by 24 · see citing works
Jabin, M. S. R. (2026) · Frontiers in Digital Health · doi:10.3389/fdgth.2026.1785086 · Cited by 10 · see citing works
- Authors
- Vincent, C.
- Affiliations
- St Mary's Hospital (GB)
- Corresponding author
- Vincent, Charles
- ORCID
- Vincent, Charles
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 2007-01-11
- Volume
- 334
- Issue
- 7584
- Pages
- 51-51
- ISSN
- 0007-1447 (ISSN-L)
- 0959-8138
- 1468-5833
- PMC
- PMC1767279
- OpenAlex
- W1988423288
- Cited by
- 161
- References
- 0
- Citations by year
- 2026: 5 · 2025: 3 · 2024: 6 · 2023: 7 · 2022: 10 · 2021: 12 · 2020: 8 · 2019: 10 · 2018: 5 · 2017: 6 · 2016: 10 · 2015: 15 · 2014: 6 · 2013: 5 · 2012: 10
- FWCI
- 17.88
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- BMJ (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
- Health Sciences › Health Professions › Health Information Management › Healthcare Quality and Management
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Toxicology › Pharmacovigilance and Adverse Drug Reactions
- Keywords
- incident reporting, patient safety, patient safety culture
- MeSH terms
- Humans, Risk Management, Safety Management, Medical Errors
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