Table 1.

How 73 Cases Were Acknowledged

Acknowledged Category of Mishap	Number (%)
Documented	30 (41.1)
Noted in medical record	30
Noted in medical record and reviewed at D&C conferences	13
Reported to risk management	6
Discussed: no documentation; action taken or reviewed	24 (32.9)
Supervisory discussion	11
Discussion leading to immediate corrective action: near-miss	11
Informal discussion with peers	2
Uncertain	19 (26)

Detailed tables of all categorized cases are contained in the Appendix (available online at http://www.jgim.org)