%0 Journal Article
%T Adopting RCA2: The Interrater Reliability of Safety Assessment Codes
%A Brian M. Cummings
%A Elizabeth A. Mort
%A Merranda S. Logan
%A Timothy L. Switaj
%J American Journal of Medical Quality
%@ 1555-824X
%D 2019
%R 10.1177/1062860618793945
%X Safety assessment codes (SACs) are one method to evaluate adverse events and determine the need for a root cause analysis. Few facilities currently use SACs, and there is no literature examining their interrater reliability. Two independent raters assigned frequency, actual harm, and potential harm ratings to a sample of patient safety reports. An actual and potential SAC were determined. Percent agreement and Cohen¡¯s ¦Ê were calculated. Substantial agreement existed for the actual SAC (¦Ê = 0.626, P < .001), fair agreement for the potential SAC (¦Ê = 0.266, P < .001), and low agreement for potential harm (¦Ê = 0.171, P = .002). Although there is subjectivity in all aspects of assigning SACs, the greatest is in potential severity. This presents a problem when using the potential SAC and is in agreement with previous literature showing significant subjectivity in determining potential harm. An operational framework is needed to strengthen reliability
%K RCA
%K SAC
%K interrater reliability
%K safety assessment code
%K root cause analysis
%U https://journals.sagepub.com/doi/full/10.1177/1062860618793945