Table 5.
Reported Near Misses by Category and by Year
|
Category |
Interception Type |
Year 1 | Year 2 | Year 3 | Total |
|---|---|---|---|---|---|
| n(%) | n(%) | n(%) | n(%total) | ||
| Accident (non-fall) | Planned | 52(2.2) | 87(1.2) | 4(0.5)† | 143(3.4) |
| Unplanned | 35(1.5) | 123(1.8) | 12(1.5) | 170(4) | |
| Environmental Hazard / Safety |
Planned | 22(0.9) | 150(2.1) | 2(0.2)T | 174(4) |
| Unplanned | 26(1.1) | 167(2.4) | 15(1.8) | 208(4.9) | |
| Equipment / Device |
Planned | 35(1.5) | 153(2.2) | 6(0.7) | 194(4.6) |
| Unplanned | 47(2.0) | 173(2.5) | 15(1.8) | 235(5.5) | |
| Fall | Planned | 27(1.1) | 187(2.7) | 11(14) | 225(5.3) |
| Unplanned | 49(2.0) | 169(2.4) | 20(2.5) | 238(5.7) | |
| Food/ Nutrition |
Planned | 20(0.8) | 99(1.4) | 6(0.7) | 125(2.9) |
| Unplanned | 34(1.4) | 99(1.4) | 5(0.6) | 138(3.2) | |
| Infection | Planned | 44(1.8) | 262(3.7) | 18(2.2) | 324(7.7) |
| Unplanned | 50(2.1) | 224(3.2) | 27(3.3) | 301(7.2) | |
| Laboratory | Planned | 5(0.2) | 37(0.5) | 0(0.0)† | 42(1) |
| Unplanned | 11(0.5) | 22(0.3) | 3(0.4)† | 36(0.8) | |
| Medication | Planned | 68(2.8) | 243(3.5) | 26(3.2) | 337(8) |
| Unplanned | 109(4.5) | 210(3.0) | 39(4.8) | 358(8.5) | |
| Patient Disappearance |
Planned | 22(0.9) | 78(1.1) | 3(0.4)† | 103(2.4) |
| Unplanned | 19(0.8) | 57(0.8) | 6(0.7) | 82(1.9) | |
| Procedure/ Treatment |
Planned | 31(1.3) | 107(1.5) | 13(1.6) | 151(3.6) |
| Unplanned | 40(1.7) | 115(1.6) | 17(2.1) | 172(4) | |
| Restraint | Planned | 6(0.3) | 26(0.4) | 2(0.2)† | 34(0.8) |
| Unplanned | 8(0.3) | 29(0.4) | 2(0.2)† | 39(0.9) | |
| Transfusion | Planned | 4(0.2)† | 10(0.1) | 1(0.1)† | 15(0.4) |
| Unplanned | 3(0.1)† | 3(0.0) | 0(0.0)† | 6(0.1) | |
| Other | Planned | 16(0.7) | 103(1.5) | 10(1.2) | 129(3) |
| Unplanned | 62(2.6) | 134(1.9) | 25(3.1) | 221(5.2) | |
| Total | 845 | 3,067 | 274 | 4,200 |
Note: percentages do not total 100% due to rounding
†
Cells with less than 5 were excluded from analysis
Differences between report categories by year: chi-square=169, df=50, p<0.01
Differences between planned versus unplanned reports by year: chi-square=379, df=2, p<0.01