Types of problems in care that contribute to patient death (More than one option may apply for each patient).
| Type of problem in care (%) | Preventable deaths n=52 | Non-preventable deaths n=79 |
| Clinical Monitoring* | 40 (31.3) | 25 (18.0) |
| Diagnosis† | 38 (29.7) | 30 (21.6) |
| Drug or fluid related‡ | 27 (21.1) | 30 (21.6) |
| Technical problem§ | 8 (6.3) | 26 (18.7) |
| Infection related | 9 (7.0) | 22 (15.8) |
| Resuscitation | 0 (0) | 3 (2.2) |
| Other | 6 (4.7) | 3 (2.2) |
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↵* Failure to act upon results of tests or clinical findings, set up monitoring systems or respond to such systems or increase intensity of care when required.
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↵† Missed, delayed or inappropriate diagnosis as a result of failure to perform an adequate assessment of patient's overall condition including appropriate tests or lack of focused assessment when required.
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↵‡ Side effects, inappropriate use, failure to give prophylactic care, anaphylaxis, etc.
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↵§ Related to an operation or procedure whether on ward, in a diagnostic suite or in theatre and including inappropriate or unnecessary procedures.
