Table 2.
Summary of category and severity of patient safety events (n = 14,181).
| Variable | n (%) |
|---|---|
| Event category | |
| Fall | 3741 (26.4%) |
| Tube and line * | 2664 (18.8%) |
| Medication | 2256 (15.9%) |
| Surgery | 1360 (9.6%) |
| Transfusion | 1139 (8.0%) |
| Examination | 535 (3.8%) |
| Security | 337 (2.4%) |
| Medical care | 290 (2.0%) |
| Violence | 261 (1.8%) |
| Cardiopulmonary arrest | 250 (1.8%) |
| Administrative ** | 193 (1.4%) |
| Public space event | 141 (1.0%) |
| Chemotherapy | 137 (1.0%) |
| Facility and devices | 97 (0.7%) |
| Anesthesia | 13 (0.1%) |
| Other | 767 (5.4%) |
| Severity | |
| Near miss | 1598 (11.3%) |
| No harm event | 8301 (58.5%) |
| Mild harm | 3578 (25.2%) |
| Moderate harm | 424 (3.0%) |
| Severe harm | 34 (0.2%) |
| Very severe harm | 2 (0.01%) |
| Death | 64 (0.5%) |
| Year | |
| 2010 | 2306 (16.3%) |
| 2011 | 2434 (17.2%) |
| 2012 | 2855 (20.1%) |
| 2013 | 2336 (16.5%) |
| 2014 | 2337 (16.5%) |
| 2015 | 1913 (13.5%) |
* Including inadvertent removal of tubes or lines, loss of function, malpositioning, and complications related to the placement of tubes and lines other than for infection, such as bleeding and dislodgement. ** Including registration and appointment errors that would lead to delayed or cancelled care processes.