Table 4

Degrees of harm of adverse events and near misses in the patient per AMT, according to the WHO (n=131; nine missing)

Degree of harm according to the WHO’s International Classification for Patient Safety3          Technology
Infusion therapyParenteral nutritionMorphine 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)
Total32 (100)43 (100)4 (100)8 (100)19 (100)25 (100)
(n=75)(n=12)(n=44)
  • AMT, advanced medical technology.