BMJ Qual Saf doi:10.1136/bmjqs-2012-001159
  • Original research

Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study

Table 5

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)
  • * 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.

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