Table 1

Clinical management incident classification set (from Incident and Information Management System)

Incident classificationDescriptor
ComplicationCommonUncommonRare
DiagnosisDelayedMissed
IdentificationWrong patientWrong siteWrong procedureWrong device/implant
InvestigationsDelayedInappropriateResults not actioned
Interhospital transfer/retrievalInadequate stabilisationDelayed
Monitoring/observationsNot performedNot reviewedSignificance not recognisedDelay/failure to recognise deteriorationInappropriate response to escalation
Retained materialRetained instrumentIncorrect count
Transfer of careInadequate handoverInadequate planningTimeliness/appropriateness
TreatmentDelayedInadequate
Other categories allocatedBlood/blood productsDeath following fallMedications/intravenous fluidsNon-preventable outcome