Significant Event Types | n | % |
---|---|---|
Disease diagnosis and disease management (e.g. missed or delayed diagnosis of cancer, terminal care pain management) | 46 | 24.1 |
Prescribing, dispensing and other drug issues (e.g. wrong/inappropriate drug prescribed/administered, warfarin issue) | 46 | 24.1 |
Patient and relatives (e.g. patient behaviour, anger or upset) | 43 | 22.5 |
Investigations and results (e.g. incorrect results given to patient, results not acted upon) | 37 | 19.4 |
Communication (e.g. lack of communication, unsuccessful communication) | 23 | 12.0 |
Administration (e.g. complaint, breach of protocol) | 16 | 8.4 |
Medical records and confidentiality (e.g. breach of confidentiality, wrong records accessed) | 15 | 7.9 |
Appointments and surgeries (e.g. patient did not arrive issues, running late) | 12 | 6.3 |
Home visits and external care (e.g. delay in arrival, visit request not done) | 10 | 5.2 |
Equipment (e.g. computer search facility ineffective, difficulty accessing cupboard containing medical supplies) | 7 | 3.7 |
Miscellaneous (e.g. difficulty in signing death certificate, change in partnership personnel) | 2 | 1.1 |
Health and safety (e.g. staff injury, unsuccessful procedure for dealing with clinical waste) | 2 | 1.1 |