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The purpose of this paper is to determine the prevalence of feedback following adverse clinical incident reporting among trainee doctors in obstetrics and gynaecology within the Northwestern Deanery of England.

An anonymous questionnaire was circulated among the Specialist Registrar trainees within the specialty attending a regional teaching session. The questionnaire was analysed.

There were 50 responses, of those 45 (90 per cent) had been involved in an adverse clinical incident; 44 had submitted an incident form related to the incident. Three had submitted incident forms without being involved in an adverse incident. Most (80 per cent) had submitted an incident form as well as a related statement. Feedback was available to 23 (51 per cent) of those involved in adverse incidents. More of the senior trainees received feedback than the junior ones. A lecture on clinical incident reporting was available to only 35(70 per cent) of the respondents on the hospital induction day at their latest clinical placement.

This study is limited to adverse clinical incident reporting among the trainees in a single specialty within one deanery in UK; hence the small numbers.

This study demonstrates the presence of awareness regarding adverse incident reporting among the trainees in a high‐risk specialty. It also shows the suboptimal rate of feedback following adverse incident reporting, which does not encourage a learning environment. It is suggested that a lecture should be dedicated to incident reporting at the junior doctors' induction day programme in every hospital.

This paper highlights the lack of adequate feedback following adverse clinical incident reporting.

The purpose of this study is to determine the effectiveness of incident reporting within the Department of Gynaecology at Trafford General Hospital.

A list of all reported clinical incidents in relation to gynaecology at the Trafford General Hospital over a period of two years (January 2005 to December 2006) was obtained. The complaints and claims related to gynaecology were also obtained for the same time period. All complaints and claims were correlated with the reported adverse incidents.

Of the reported 111 adverse incidents, none resulted in either complaint or claim. None of the complaints resulted in claims but there was no corresponding incident reporting. All the claims were directly related to surgical procedures but no incident reporting was done either. The nursing staff filled in all the 111 adverse incident forms.

This study is only limited to adverse incidents in gynaecology over a short period of time (two years) at a District General Hospital.

This study demonstrates the need to stress the importance of incident reporting to the doctors. It is suggested that a session be dedicated to incident reporting as a part of in‐house training for medical staff of all grades.

This paper highlights the need to impress on the medical staff about the importance of adverse clinical incident reporting.

There is a research gap in the explanation of cyber incident response approaches in management to increase cyber maturity for small–medium-size enterprises (SMEs). Therefore, based on the literature analysis, the chapter aims to (1) provide cyber incident response characteristics, (2) show the importance for SMEs, (3) identify cyber incident response feasibility and causal factors, (4) provide scenarios for consideration to create an incident response plan (IRP), and (5) discuss the cyber incident response and managerial approaches in SMEs. The authors used content analysis of scientific and professional articles to develop the theoretical foundation of incident response approaches in management for SMEs. The authors start from the fundamentals to obtain knowledge and understanding of the latest threats and opportunities, and how to defend themselves using the limited capacity of resources might be the starting point to building an extensive incident response capability. Incident response capabilities and maturity levels vary widely between various organisations. There is no simple one-size-fits-all process for incident response; each case is unique and requires continuous refinement. Differentiation and adaptation to different types of SMEs are pivotal to developing cyber maturity and defining requirements that fit the market’s needs and are therefore more efficient in achieving the goal of increasing cyber security (CS) among business management. SMEs may not have a mature IRP, but at least one readiness indicator could lead to the preparation of a mature IRP. Implementation of the secure undertakings and information processes requires using modern information and communication technologies, incident response processes, and other modules that could enhance support for decision-making processes in management. The approach requires a systematic approach to issues related to constructing these solutions. The authors highlight that building efficient incident response approaches in management to improve cyber maturity will begin with infrastructure and people factors.

Recognizing the 9/11 attacks as a turning point in the history of American emergency management and response philosophies, this chapter examines the evolution to a standardized National Incident Management System (NIMS). This involved the movement from individual jurisdictional and agency autonomy to adoption of a multilayered system where all efforts are intended to support a response beginning and ending at the local level. This chapter discusses the overarching NIMS doctrine and its incumbent on-scene Incident Command System (ICS) for coordinating on-scene operations. The specific focus is the application to the NIMS and the ICS to law enforcement.

The main goal of the current research was to investigate whether and how leaders in health care organizations can stimulate incident reporting and error management by “walking the safety talk” (enacted priority of safety).

Open interviews (N=26) and a cross-sectional questionnaire (N=183) were conducted at the Rotterdam Eye Hospital (REH) in The Netherlands.

As hypothesized, leaders’ enacted priority of safety was positively related to incident reporting and error management, and the relation between leaders’ enacted priority of safety and error management was mediated by incident reporting. The interviews yielded rich data on (near) incidents, the leaders’ role in (non)reporting, and error management, grounding quantitative findings in concrete case descriptions.

We support previous theorizing by providing empirical evidence showing that (1) enacted priority of safety has a stronger relationship with incident reporting than espoused priority of safety and (2) the previously implied positive link between incident reporting and error management indeed exists. Moreover, our findings extend our understanding of behavioral integrity for safety and the mechanisms through which it operates in medical settings.

Our findings indicate that for the promotion of incident reporting and error management, active reinforcement of priority of safety by leaders is crucial.

Social sciences researchers, health care researchers and health care practitioners can utilize the findings of the current paper in order to help leaders create health care systems characterized by higher incident reporting and more constructive error handling.

The present experimental study aims to investigate when a food safety incident occurs, how country image influences consumers' trust and purchase intention, as well as the relationship between trust and purchase intention.

Participants (N = 1,590) were randomly allocated into one of the eight conditions [(country competence: high vs low) × (country warmth: high vs low) × (clean green image: high vs low)], read the corresponding country image descriptions, and rated measures on trust in food safety and quality, and purchase intention of fruit imported from this exporting country before and after reading a fictional food safety incident scenario.

Results showed that the food safety incident led to a significant decrease in trust and purchase intention across all conditions. However, trust in food safety and quality, and purchase intention were still higher in high competence, warmth or clean green image conditions. The decreased magnitude of trust in food safety was larger when country competence and clean green image was high, and when country warmth was low. Food safety incident caused purchase intention to become more dependent on trust in food safety than food quality.

This study provides a novel insight into the impacts of food safety incidents on consumers' responses in different country image contexts including the human-related and environment-related dimensions.

The growing frequency of cybersecurity incidents commonly requires organizations to notify customers of ongoing events. However, the content contained within these notifications varies widely, including differences in the level of detail, apportioning of blame, compensation and corrective action. This study seeks to identify patterns contained within cybersecurity incident notifications by constructing a typology of organizational responses.

Based on a detailed review of 1,073 global cybersecurity incidents occurring during 2020, the authors obtained and qualitatively analyzed 451 customer notifications.

The results reveal three distinct organizational response types associated with the level of detail contained within the notification (full transparency, guarded and opacity), as well as three response types associated with the benefitting party (customer interest, balanced interest and company interest).

This work extends past classifications of cybersecurity incident notifications and provides a template of possible notification approaches that could be adopted by organizations.

In a previous research, the authors proposed a security information service, called Personalized Real-time Information with Security Map (PRISM), which personalizes the incident information based on living area of individual users. The purpose of this paper is to extend PRISM to conduct sophisticated analysis of street crimes. The extended features enable to look back on past incident information and perform statistical analysis.

To analyze street crimes around living area in more detail, the authors add three new features to PRISM: showing a past heat map, showing a heat map focused on specified type of incidents and showing statistics of incidents for every type. Using these features, the authors visualize the dynamic transition of street crimes in a specific area and the whole region within Kobe city. They also compare different districts by statistics of street crimes.

Dynamical visualization clarifies when, where and what kind of incident occurs frequently. Most incidents occurred along three train lines in Kobe city. Wild boars are only witnessed in a certain region. Statistics shows that the characteristics of street crimes is completely different depending on living area.

Previously, many studies have been conducted to clarify factors relevant to street crimes. However, these previous studies mainly focus on interesting regions as a whole, but do not consider individual’s living area. In this paper, the authors analyze street crimes according to users’ living area using personalized security information service PRISM.

There has been little research about incident management decision making within real-life, dynamic emergencies such as urban fire settings. So this research addresses the research problem: how do incident managers make decisions in urban fire settings? These decision behaviours cover five areas: assessment of the fireground situation, selection of a decision strategy, determination of incident objectives, deployment and management of firefighting resources and ongoing review of the incident. The paper aims to discuss these issues.

Case research was used to examine management of different types of fires, through in-depth interviews with a range of incident managers.

This research identified five key behavioural elements associated with incident management in urban fire settings such as their application of a mix of recognition-primed, value based, procedural and formal decision strategies throughout the course of an incident rather than a single style.

The in-depth framework of decision making could provide foundations for later research about other emergency settings. And this research is limited to analytic generalisation (Yin, 2009); so quantitative research such as surveys and large scale interviews could be done to further extend the research for statistical generalisation.

The decision procedures uncovered in this research will assist incident managers in many emergencies, assist policy making and foster the development of future incident managers.

The findings expand the knowledge of how incident managers develop situation awareness, make decisions and plans, implement them, and review the incident as it evolves. Another contribution is the comprehensive framework of decision making developed from these findings.

Collaborative-based national cybersecurity incident management benefits from the huge size of incident information, large-scale information security devices and aggregation of security skills. However, no existing collaborative approach has been able to cater for multiple regulators, divergent incident views and incident reputation trust issues that national cybersecurity incident management presents. This paper aims to propose a collaborative approach to handle these issues cost-effectively.

A collaborative-based national cybersecurity incident management architecture based on ITU-T X.1056 security incident management framework is proposed. It is composed of the cooperative regulatory unit with cooperative and third-party management strategies and an execution unit, with incident handling and response strategies. Novel collaborative incident prioritization and mitigation planning models that are fit for incident handling in national cybersecurity incident management are proposed.

Use case depicting how the collaborative-based national cybersecurity incident management would function within a typical information and communication technology ecosystem is illustrated. The proposed collaborative approach is evaluated based on the performances of an experimental cyber-incident management system against two multistage attack scenarios. The results show that the proposed approach is more reliable compared to the existing ones based on descriptive statistics.

The approach produces better incident impact scores and rankings than standard tools. The approach reduces the total response costs by 8.33% and false positive rate by 97.20% for the first attack scenario, while it reduces the total response costs by 26.67% and false positive rate by 78.83% for the second attack scenario.