Clinical categorisation of the reported events
| Immediate cause | ||
|---|---|---|
| Actual or potential consequence: Appropriate care obstructed or delayed/inappropriate care provided | Administrative errors (mainly booking appointments and filing) | 20 (25.6%) |
| Prescribing or medication review | 11 (14%) | |
| Delays or inappropriate care in hospital | 10 (13%) | |
| Lack of information, communication failures | 7 (9%) | |
| Dealing with test results or hospital correspondence | 5 (6.4%) | |
| Referrals (delayed/forgotten) | 5 (6.4%) | |
| Vaccination/drug administration | 4 (5%) | |
| Judging urgency of patient’s condition | 2 (2.6%) | |
| External factors/equipment failures | 3 (4%) | |
| Failing to home visit | 2 (2.6%) | |
| Dispensing errors | 2 (2.6%) | |
| Unknown | 1 | |
| No apparent potential for harm to patient | 3 (4%) | |
| Other | 3 (4%) | |
| Total | 78 |