Jan Feb Mar Apr May Jun

AccessDISCHARGE - DELAY/FAILUREDISCHARGE- INAPPROPRIATEDISCHARGE - REFUSALDISCHARGE PLANNING FAILUREDISCHARGE SUMMARY DELAYSELF DISCHARGEFAILURE TO FOLLOW-UPMISSED APPOINTMENTFAILURE TO REFERLACK OF/DELAYED AVAILABILITY OF BEDS (general)LACK OF/DELAYED AVAILABILITY OF BEDS (high dep)TRANSFER - DELAY/FAILURETRANSPORT INAPPROPRIATETRANSPORT - DELAY/FAILUREOTHER

AccidentCONTACT WITH ELECTRICITYEXPOSURE TO HARMFUL SUBSTANCE

Exposure to RadiationExposure to Asbestos

MOVING AND HANDLINGMoving & Handling - Patient/PositioningMoving & Handling - Non-patient

STRUCK BY FALLING OBJECTCONTACT WITH HOT / COLD

Moving & Handling - Display ScreenEquipment Issues

STRUCK BY MOVING VEHICLESLIP/TRIP/FALL

Slip/Trip/Fall on same levelSlip/Trip/Fall from Height

ROAD TRAFFIC ACCIDENTCONTACT WITH FURNITURE/FITTINGSOTHER

Building & Utility IssuesDAMAGED WALLDAMAGED FLOORPLUMBING LEAKGAS LEAKSEWAGE SMELLDOOR LOCKEDEQUIPMENT BROKENDOOR BROKENBLEEP SYSTEM FAILUREFAILURE OF DEVICE/EQUIPMENTDELAY/FAILURE TO PROVIDE EQUIPMENT TO USERIT/TELECOMMUNICATIONS FAILURELACK/UNAVAILABILITY OF DEVICE/EQUIPMENTUSER ERROR OF DEVICE/EQUIPMENTWRONG DEVICE OR EQUIPMENT USEDINADEQUATE CHECK ON EQUIPMENT/SUPPLIESFAILURE/DELAY IN COLLECTION/DELIVERY SYSTEMSOTHER

Clinical Assessment and TreatmentDELAY/DIFFICULTY IN OBTAINING CLINICAL ASSISTANCE

DELAY OBTAINING BLEEP HOLDER OR ON-CALL STAFF

DIAGNOSIS - DELAY/FAILURE TOLACK OF/DELAYED AVAILABILITY OF APPROPRIATE PHYSICIANDIAGNOSIS - WRONG

TREATMENT - DELAY/FAILURE TO MONITORTREATMENT - FAILURE/INCORRECTTREATMENT - FAILURE TO DISCONTINUEPATIENT INCORRECTLY IDENTIFIEDBLOOD TRANSFUSION ERROR

Incorrect DispensingDelay/Problem Obtaining Blood

SCANS/X-RAYS/SPECIMENS - WRONGSCANS/X-RAYS/SPECIMENS - MISSINGSCANS/X-RAYS/SPECIMENS - NOT READTEST REQUEST FORM - NONE/INCOMPLETETEST - FAILURE/DELAY TO UNDERTAKE

TEST RESULTS/REPORT - INCORRECTTEST RESULTS/REPORT - FAILURE/DELAY TO RECEIVETEST RESULTS/REPORT - MISSINGTEST RESULT/REPORT - MISLABELLEDDIETARY ERROR

Wrong PreparationWrong DietFood HazardDelay

SCANS/X-RAYS/SPECIMENS - MISLABELLED/UNLABELLED

TREATMENT - DELAY/FAILURE IN RECOGNISINGCOMPLICATIONS

SCANS/X-RAYS/SPECIMENS - INADEQUATE/INCOMPLETE

TEST RESULTS/REPORT - FAILURE/DELAY TO INTERPRETOR ACT ON

DOCTOR'S INDUCED TREATMENTNOT REFERRED TO SPECIFIC DOCTORNEAR MISSOTHER

CommunityDOG/RAT/HOUSEHOLD PETS/OTHERSSTAFF LOCATION UNKNOWNCAR BREAKDOWNUNHYGIENIC ENVIRONMENTUNSAFE ENVIRONMENTINADEQUATE SUPPORTOTHERDELAY/FAILURE TO PROVIDE SOCIAL CAREDELAY/FAILURE OF CARE AGENCY TO PROVIDE CARE

Financial IssuesWRONG COST ESTIMATIONDOUBLE CHARGEDTARIFF DIFFER BETWEEN THE BOOK AND IN THE SYSTEMWRONG INPUT IN CHARGE SLIPTRANSACTION NOT INPUTEDOTHER

Fire IssuesFIRE (inc. accidental)FIRE ALARM FALSEFIRE ARSON (MALICIOUS)DEFECTIVE FIRE EQUIPMENTOTHER

FAILURE OF RESIDENTIAL CARE HOME TO PROVIDE CARE

Infection Control

FAILURE TO DECONTAMINATE EQUIPMENTINFECTION - CROSS/HEALTHCARE ACQUIREDINFECTION - WOUNDUNSAFE/INAPPROPRIATE CLINICAL ENVIRONMENTUNSAFE/INAPPROPRIATE CLINICAL WASTE ISSUEEXPOSURE TO BODILY FLUIDSNEEDLESTICK INJURY

Dirty Needlestick InjuryClean Needlestick Injury

CUT BY SHARP OBJECT - NOT NEEDLESTICKNOTIFIABLE DISEASEOTHER

InformationFAILURE TO OBTAIN CONSENT

NO ACCESS TO MEDICAL DOCUMENTATIONCONFIDENTIALITY BREACHINCORRECT MENTAL HEALTH ACT RECORDSHEALTHCARE RECORD - DELAY IN OBTAININGHEALTHCARE RECORD - MISLABELLED

REFERRAL - MISSING/INADEQUATE/ILLEGIBLEAPPOINTMENT RECORDING ERRORDOCUMENTATION MISFILED

FAILURE OF STERILISATION OR CONTAMINATION OFEQUIPMENT

HEALTHCARE RECORD -MIXED/MISSING/INADEQUATE/ILLEGIBLE

HEALTHCARE RECORD - NOT SIGNED/DATED BY STAFFCARE PLAN/ASSESSMENT -MISSING/INADEQUATE/ILLEGIBLE

OTHER

IT SecurityVIRUS ATTACKILLEGAL SOFTWAREPASSWORD COMPROMISEDLOSS OF DATALOSS/THEFT OF IT EQUIPMENTE-MAIL CONFIDENTIALITY BREACHEDINTERNET MISUSEOTHER

MaternityUNEXPECTED NEONATAL ADMISSION TO SCBUBIRTH TRAUMA (other)

UNDIAGNOSED CONGENITAL ABNORMALITYOTHER

MedicationPrescribing

ILLEGIBLE PRESCRIPTIONINCORRECT OR INAPPROPRIATE PRESCRIPTIONNO SIGNATUREALLERGY NOT RECORDED

DispensingLABEL ERRORWRONG MEDICINE/STRENGTHWRONG QUANTITYDELAY/PROBLEM OBTAINING MEDICATIONEXPIRED MEDICINE

DELAY IN PAEDIATRICIAN ARRIVING WITHIN 15 MINS OFCALL

AdministrationWRONG PATIENTWRONG MEDICINE

Wrong doseWRONG FORMULATIONWRONG FREQUENCY/RATE/TIMEWRONG ROUTEMEDICINE OMITTEDEXPIRED MEDICINEALLERGY RECORDED BUT TREATMENT GIVENNO RECORD OF ADMINISTRATION

Monitoring and AdviceADVERSE DRUG REACTIONWRONG/OMITTED VERBAL OR WRITTEN ADVICEFAILURE TO MONITOR SIDE EFFECTS/THERAPYFAILURE PATIENT TO FOLLOW DIRECTIONS

Medicine SecurityMEDICINES OBTAINED BY THEFT OR DECEPTIONCONTROLLED DRUG ISSUEDELIVERY/TRANSPORT MEDICATION ISSUEINCORRECT STORAGEMEDICINES MISSING/UNACCOUNTED FORMEDICINES FOUND LOOSE/NOT GIVENMEDICINE KEY ISSUESLEFT UNATTENDED

Other

MAR CHART OR MDS (E.G. DOSSETT) BOX ISSUEINCORRECTLY IDENTIFIED

PATIENT TRANSFERRED OR DISCHARGED WITHNO/INCORRECT MEDICATION/PRESCRIPTION

NEAR MISSOTHER

OrganisationENVIRONMENTAL ISSUE

FloodingOil PollutionEffluent PollutionFood Issue

SERVICE FAILURE (Lighting/Power/Heating etc.)ON CALL SYSTEMS FAILUREOTHER

Security IssuesINTRUDERTHEFT

Theft of Staff PropertyTheft of Trust PropertyTheft of Patient PropertyTheft from/of Staff VehicleTheft from/of Trust (loan) Vehicle

ABSCONDER/MISSING PERSONVANDALISMUNSAFE ENVIRONMENT - (inc PERSONAL SAFETY)LOST OR MISPLACED PROPERTYBOGUS STAFF MEMBERACCIDENTAL DAMAGEFRAUD OR DECEPTIONFORCED ENTRYOTHERSECURITY FALSE ALARM

Service Users IssuesALLERGIC REACTIONDEVELOPED PRESSURE SORES

Pressure ulcer developed within our carePressure ulcer acquired elsewhere

CONCERN OVER A DO NOT RESUSCITATE ORDERUNEXPECTED OR SUSPICIOUS DEATHISSUE CONCERNING PATIENT DIGNITYALCOHOL AND ILLEGAL DRUGS USEDTOURNIQUET PROBLEMCHAPERONE ISSUESPATIENT SELF HARMSUICIDESUICIDE ATTEMPTEDSUDDEN ONSET OF ILLNESSINFUSION SITE

SwollenHaematoma

OTHER

Staffing IssuesINADEQUATE LEVELSINADEQUATE SKILLS MIXCONCERN OVER COMPETENCEINADEQUATE SUPERVISIONACTING BEYOND SCOPE OF PRACTICEOTHER

Surgical / Theatre IssuesTHEATRE LIST DETAILS INCORRECT

DELAY/FAILURE TO START CARDIO PULMONARYRESUSCITATION

LATE AMENDMENTS TO LIST

DIATHERMY BURNTOURNIQUET PROBLEMOPERATION SITE WRONGLY MARKEDWRONG OPERATION PERFORMEDINCORRECT SWAB OR INSTRUMENT COUNTDEEP VEIN THROMBOSIS NO PROPHYLAXISUNPLANNED RETURN TO THEATREUNEXPECTED ACUTE ADMISSIONINCOMPLETE POST-OPERATIVE PREPARATION OF PATIENTCARDIAC ARREST IN OTOTHER

Violence IssuesFIREARMS/DANGEROUS WEAPONSVERBAL (inc telephone)

by otherby patientto staff by staff

PHYSICALby otherby patientto staff by staffHomicide by Patient

RACIALby otherby patientto staff by staff

CHILD ABUSE IdentifiedSEXUAL

INCOMPLETE PRE-OPERATIVE PREPARATION OFPATIENT

by otherby patientto staff by staff

BULLYINGby otherby patientto staff by staff

ADULT ABUSE IdentifiedOTHER (Specify)

Jul Aug Sept Oct Nov Dec TOTAL Jul Aug Sept Oct Nov Dec Jan

Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec