Abstract G240 Table 2
ROLMA 1Potential ICIMinor HIPotential ICIMinor HI
AssessmentEvidence base consistent7502i. Initial assessment diagnosed CSF Rhinorrhoea incorrectlyii. Initial assessment considered NAI senior review decided low risk of NAI.
Evidence base Inconsistent3713i. Incomplete assessment missed key finding that was rapidly spotted during further review initiated by concerned nursing staff (Near miss)ii. 2 cases diagnosed as minor head injury but had documented drowsiness