Journal Article
Commentary

The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events.

Chang A, Schyve PM, Croteau RJ, et al. International journal for quality in health care : journal of the International Society for Quality in Health Care. 2005;17:95-105.

The rapid increase in research and publications on patient safety following the landmark Institute of Medicine report resulted in the need for a common set of definitions and terminology for patient safety concepts.  To achieve this goal, the authors developed a taxonomy based on a systematic literature review.  The taxonomy, which has been widely accepted since its publication, consists of 5 primary classifications that can be used to classify an error:  impact, type, domain, cause, and prevention or mitigation.