Complication | Common | Uncommon | Rare | | |
Diagnosis | Delayed | Missed | | | |
Identification | Wrong patient | Wrong site | Wrong procedure | Wrong device/implant | |
Investigations | Delayed | Inappropriate | Results not actioned | | |
Interhospital transfer/retrieval | Inadequate stabilisation | Delayed | | | |
Monitoring/observations | Not performed | Not reviewed | Significance not recognised | Delay/failure to recognise deterioration | Inappropriate response to escalation |
Retained material | Retained instrument | Incorrect count | | | |
Transfer of care | Inadequate handover | Inadequate planning | Timeliness/appropriateness | | |
Treatment | Delayed | Inadequate | | | |
Other categories allocated | Blood/blood products | Death following fall | Medications/intravenous fluids | Non-preventable outcome | |