Documentation | 107 (41.4) | Missing mammogram from previous year |
Abnormal lab filed before MD had seen result |
Lab report misfiled (two patients with same last name) |
Medication | 77 (29.7) | Prescribed synthroid, 75 μg instead of 100 μg |
Prescribed Amoxil, pharmacy had penicillin allergy noted, EMR incorrect, did not list allergy |
Wrong name written on prescription (was patient's sibling) |
Clinical administration | 48 (18.7) | Patient referred to paediatrician instead of podiatrist |
Patient phone number in chart no longer in service |
Referral to mental health never sent |
Clinical process | 45 (17.5) | Doing biopsy, didn't have container in room, specimen fell on floor |
Pregnant patient missed important ultrasound, was not given appointment information |
Patient needed Pap recall in 6 months, name was not put on recall list so was not notified |
Resources | 6 (2.4) | Bad news test result given over the phone to patient's family member |
Medical device | 4 (1.6) | Internet server down for 4 days, unable to get labs or process billings |
Patient behaviour | 3 (1.2) | Patient notified of abnormal results, did not show for appointment |
Fall | 1 (0.4) | Fall due to medication contraindication causing subdural haematoma |
Infrastructure | 1 (0.4) | Mouse spotted in office |
No. of reports* † | 262 | |