Table 2.

Top 10 Opportunities to Interven

Opportunity to Intervene	Number of Cases (n=272)	Percentage
1. Procedure: perform procedure correctly	50	18.4
2. Diagnosis: diagnosis correctly	23	8.5
3. (tie) Patient Care: fall prevention	16	5.9
3. Procedure: don’t leave foreign body in patient	16	5.9
5. Patient Care: timely	15	5.5
6. Medication: give correct medication	13	4.8
7. (tie) Consent: obtain and document	12	4.4
7. Results Management: test performed, not followed up	12	4.4
9. Documentation: document comprehensively	11	4.0
10. Patient Care: patient monitoring	8	2.9