Degree of harm according to the WHO’s International Classification for Patient Safety3 | Technology | |||||
Infusion therapy | Parenteral nutrition | Morphine pumps | ||||
Adverse events n (%) | Near misses n (%) | Adverse events n (%) | Near misses n (%) | Adverse events n (%) | Near misses n (%) | |
None Patient outcome is not symptomatic, or no symptoms detected and no treatment is required. | 19 (59.4) | 43 (100) | 3 (75.0) | 8 (100) | 11 (57.9) | 25 (100) |
Mild Patient outcome is symptomatic, symptoms are mild, loss of function or harm is minimal or intermediate but short term, and no or minimal intervention (eg, extra observation, investigation, review or minor treatment) is required. | 11 (34.4) | 0 (0) | 1 (25.0) | 0 (0) | 6 (31.6) | 0 (0) |
Moderate Patient outcome is symptomatic, requiring intervention (eg, additional operative procedure, additional therapeutic treatment), an increased length of stay, or causing permanent or long-term harm or loss of function. | 2 (6.3) | 0 (0) | 0 (0) | 0 (0) | 1 (5.3) | 0 (0) |
Severe Patient outcome is symptomatic, requiring life-saving intervention or major surgical/medical intervention, shortening life expectancy or causing major permanent or long term harm or loss of function. | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 1 (5.3) | 0 (0) |
Death On balance of probabilities, death was caused or brought forward in the short term by the incident. | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) |
Total | 32 (100) | 43 (100) | 4 (100) | 8 (100) | 19 (100) | 25 (100) |
(n=75) | (n=12) | (n=44) |
AMT, advanced medical technology.