Table 2 Study characteristics
ReferencePopulationMethod of record selectionMethod of reviewMore than one adverse event per patient?Time frame of included eventsKappa value for interobserver agreementEndpoints
1. Brennan et al25 32Acute-care hospital patients (no psychiatric patients)Random sample of hospitalisations from 51 hospitalsTwo-stage record review: first, screening for one of 18 criteria by trained nurses; second, review by two physiciansNot specifiedOccurred before and during and detected during index admission0.61Incidence, negligence, outcome, location, type of event
2. O’Neil et al23 28Hospital patientsAll admissions to the medical service of one hospital over a 4-month period1. Two-stage record review: first, screening for one of 15 criteria by medical-record analysts; second, review by physicianNoNot specified0.57Incidence, preventability
2. Reviewing reported incidents
3. Wilson et al3Acute-care hospital patients (no psychiatric or day-care patients)Random sample of admissions from 28 hospitalsTwo-stage record review: first, screening for one of 18 criteria by trained nurses; second, review by two medical officersNoOccurred before* and during and detected during or after index admission0.55Incidence, preventability, outcome, provider of care, location, type of event
4. Thomas et al2Hospital patients (no psychiatric, rehabilitation or drug/alcohol treatment patients)Random sample of discharges from 28 hospitalsTwo-stage record review: first, screening for one of 15 criteria by trained nurses; second, review by physicianNoOccurred before and during and detected during index admission0.4Incidence, negligence, outcome, provider of care, location, type of event
5. Vincent et al26 33Acute hospital patients (general medicine, general surgery, orthopaedic surgery, obstetrics)Records randomly drawn from two hospitalsTwo-stage record review: first, screening for one of 18 criteria by trained nurses; second, review by clinicianYesNot specifiedNot specifiedIncidence, preventability, outcome, provider of care, type of event
6. Davis et al24 30Hospital patients (no psychiatric, day-care or rehabilitation patients)Random sample of admissions from 13 hospitalsTwo-stage record review: first, screening for one of 18 criteria by trained nurses; second, review by medical officerNot specifiedOccurred before* and during and detected during index admission0.47Incidence, preventability, outcome, provider of care, location, type of event
7. Baker et al31Hospital patients (no paediatric, psychiatric, obstetric or rehabilitative)Random sample of admissions from 20 hospitalsTwo-stage record review: first, screening for one of 18 criteria by trained nurses; second, review by physicianYesOccurred before and during and detected during or after index admission†0.47/0.45/0.69‡Incidence, preventability, outcome, provider of care, type of event
8. Sari et al29Hospital patients (surgery, general medicine, elderly care, orthopaedics, urology, oncology, ENT, ophthalmology)Random sample of admissions in one hospital1. Two-stage record review: first, screening for one of 18 criteria by trained nurses; second, review by physicianYesNot specified0.76Incidence
2. Reviewing reported incidents
  • *Only included if (partly) responsible for index admission.

  • †Only included if occurred/was detected during a hospital admission.

  • ‡Kappa values for interobserver agreement of judgement on injury/causation/preventability.