Table 3

Classification of Root Cause Analyses by minimum data set

	No
Complication—common	7
Complication—uncommon	17
Complication—rare	4
Death following fall	34
Diagnosis delayed	14
Diagnosis missed	41
Identification—wrong patient/site/procedure/device	97
Investigations—inadequate	9
Medications/intravenous fluids	24
Monitoring—delayed	16
Monitoring—failure to recognise deterioration	30
Monitoring—inappropriate response to escalation	12
Monitoring—not performed	10
Non-preventable outcome	24
Retained material	20
Transfer—inadequate	9
Treatment delayed	19
Treatment inadequate	38
Treatment wrong	14
Other	6
Total	445