Table 4.
AE type | Level 1 classification | Severity | Case summary |
Preventable AE | Clinical process/procedure | Transient disability | Patient with history of intravenous drug use admitted for right groin swelling. Patient experienced delays in definitive management of an abscess as a result of poor coordination of care including imaging and surgical care. |
Non-preventable AE | Clinical process/procedure | Symptoms | Elderly patient with multiple comorbidities admitted for pneumonia. Patient developed hypotension because of hypovolemia secondary to ongoing diuretic use in the setting of diarrhoea. |
Preventable AE | Healthcare-associated infection | Death | Frail elderly patient admitted for congestive heart failure. Patient died in hospital due to complications of Costridium difficile colitis. |
Potential AE | Medication/intravenous fluid/biological | Nil | Elderly patient did not receive medications in hospital as a result of delay in sending medications from the hospital pharmacy. |
AE, adverse event.