|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)|
↵* 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.
↵† 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.
↵‡ Side effects, inappropriate use, failure to give prophylactic care, anaphylaxis, etc.
↵§ Related to an operation or procedure whether on ward, in a diagnostic suite or in theatre and including inappropriate or unnecessary procedures.