Chang A, Schyve PM, Croteau RJ, O'Leary DS, Loeb JM. The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events. Int J Qual Health Care. 2005 Apr;17(2):95-105
Elements (terms) and structures (data fields) from existing classification schemes and reporting systems could be grouped into five complementary root nodes or primary classifications: impact, type, domain, cause, and prevention and mitigation. The root nodes were then divided into 21 subclassifications which in turn are subdivided into more than 200 coded categories and an indefinite number of uncoded text fields to capture narrative information. An earlier version of the taxonomy (n = 111 coded categories) demonstrated acceptable comparability with the categorized data requirements of the ICU safety reporting system.
De loin la plus détaillée de toutes les classifications existantes. Une classification typiquement établie pour des codeurs spécialisés quasiment professionnels des agences type INVS qui traitent à l’échelon national le risque par agrégation des déclarations. Outil quasiment hors de portée de l’intérêt pour un généraliste isolé. Trois dimensions : impact (médical, non médical), type (communication, patient management, clinical performance) et domaine primaire ou secondaire, professionnel de santé, patient, pathologie) et cause (system ou individuel). Le temps est mentionné à la marge.