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Registered nurses' judgments of the classification and risk level of patient care errors.
Chipps E, Wills CE, Tanda R, et al. J Nurs Care Qual. 2011;26:302-310.

Low interrater agreement when attempting to retrospectively analyze adverse events is a well-documented problem in the safety literature. This study found relatively poor agreement between registered nurses regarding the severity and preventability of adverse events.
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