Table 3.

Characteristics of Voluntary Reporting System Adverse Events (Type and Harm Codes)

Event Type		N (total n=21)
Falls		6
Skin/Tissue		1
Medication/IV		8
*ifosfamide, methotrexate, potassium/potassium chloride, busulfan, carboplatin, etoposide/etoposdie phosphate, mesna, dextrose 5%, 0.45% NaCl, Voriconazole, fenofibrate/fenofirbrate micronized, famotidine, prednisone
Blood Product/Transfusion		4
Line/Tube/Drain		2
Harm Code	Definition	N (total n=21)
A	Circumstances or events that have the capacity to cause error	4
B	An error that did not reach the patient	1
C	An error that reached the patient but did not cause harm	8
D	An error that reached the patient and required monitoring or intervention to confirm that it resulted in no harm to the patient	2
E	Temporary harm to the patient and required intervention	6
F	Temporary harm to the patient and required initial or prolonged hospitalization	0
G	Permanent patient harm	0
H	Intervention required to sustain life	0
I	Patient death	0

^*medications listed in event descriptions submitted to the Voluntary Safety Reporting System