Table 4

Nature of patient reports from studies asking open-ended questions

Category of PSINo. of patient reports (% of sample)17No. of patient reports (% of sample)24No. of patient reports (% of sample)29Total no. of patient reports (% of total sample)
Diagnosis-related problems, for example, diagnosis error3 (4%)1 (5%)4 (3%)
Medication-related problems, for example, failure to order drug, wrong dose, wrong route, known allergy47 (65%)7 (39%)7 (17%)61 (46%)
Operative- or procedure-related problems, for example, postprocedure related problems4 (6%)4 (22%)8 (6%)
Problems with clinical services, for example, failure to draw blood, wrong patient, wrong body part, delays to tests or procedures7 (10%)3 (17%)1 (2%)11 (8%)
Service quality problems, for example, waits and delays, problems with care environment6 (8%)3 (17%)27 (64%)36 (27%)
Other problems, for example, failure to follow-up, equipment malfunctions5 (7%)7 (17%)12 (10%)
Total number of reports72*1842132
  • * Total exceeds number of classified PSIs detailed in table 1 (n=62) as multiple process problems were identified for a single PSI. Information relating to incident type was only provided for classified PSIs.

  • Only a sample of 42 reports is available from the paper (rather than the total number of patient reported events n=121; see table 1) as these were highlighted as ‘the most serious incident reported by each of the 42 patients who identified an ‘unsafe episode’’ (Weingart et al, p 88).29