death |
problem with death certificate, police notified |
patient died in operation room, ambulance or ICU, or died when transferring |
suicide |
suicide or suspected suicide outside of hospital |
inpatient suicide |
high risk |
high fall risk mentioned e.g. patient suffered extreme pain or hit their head, neurological observation, vital signs checked, CT scan of brain |
|
high risk medication, drug overdose or wrong medicine |
|
police notified |
absconded patients with mental health problems did not return from planned leave, police intervention |
|
incorrect patient |
duplicate CT scans due to problem with patient identification |
incorrect site for patient procedure |
infection |
patient had infection in hospital |
more than two staff infected by patients |
blood transfusion reaction |
|
shortly after commencing the flebogamma infusion patient reacted to the medication with shortness of breath, chest tightness, vomiting and diarrhea |
aggression |
|
patient with mental health problems or Hepatitis C infection assaulted staff |