Table 1.
Level | Generic Description | Description Based on Clinical Situation | S |
---|---|---|---|
Catastrophic | Death | Reasonable expectation of death in the absence of SMIa | 5 |
Critical | Permanent impairment or life-threatening injury | Symptoms and signs, SMI required | 4 |
Serious | Injury or impairment requiring professional medical intervention | Symptoms and signs; GMIb required | 3 |
Minor | Temporary injury or impairment not requiring professional medical intervention | Symptoms | 2 |
Negligible | Inconvenience or temporary discomfort; no injury | No symptoms or signsc | 1 |
GMI, generic medical intervention; SMI, specific medical intervention.
SMI shall be determined by medical experts for each particular harm.
GMI consists of possible administration of corrective action by health professional according to procedures within the clinic, which may be administered with or without a physician's order (e.g., positioning of patient, administration of over-the-counter drugs).
“Symptoms” are subjective conditions that are felt/declared by the patient (e.g., headache, backache, dizziness). “Signs” are physiologic alterations that are objectively determined by the physician or health professional (e.g., hypotension, change in the electrolyte values, pulmonary edema).