Table 2.

Principal incident types, their frequency and the proportion of harmful reports

Incident type: definitionAll, nHarmful, n (%)Moderate harm or worse, n (%)
Administration: transfer of patient information (discharge communication)15181 (54)13 (9)
Referrals: referral of patients from one service to another13699 (73)20 (15)
Medication: prescribing, dispensing, administration, or monitoring of medications9784 (87)13 (13)
Care equipment: provision of adjuncts essential to safe care6258 (94)4 (6)
Treatment and procedures: non-medication treatment decision making or execution4342 (98)10 (23)
Diagnosis and assessment: process of assessing or diagnosing a patient2624 (92)16 (62)
Investigations: process of investigating a patient’s condition1413 (93)3 (21)
Communication: face-to-face or telephone, direct transfer of information relating to patient care97 (78)2 (22)
Other: for example issues around transportation6055 (92)1 (2)
Total598463 (77)82 (14)