Registered nurses' judgments of the classification and risk level of patient care errors.
Chipps E, Wills CE, Tanda R, et al. Registered nurses' judgments of the classification and risk level of patient care errors. J Nurs Care Qual. 2011;26(4):302-310. doi:10.1097/NCQ.0b013e31820f4c57.
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.