Outcomes | N |
Clearly stated harm to child | 89 |
Emergency or unplanned tracheostomy change | 37 |
Child severely distressed or in pain | 16 |
Hospital admission or ambulance called | 10 |
Skin damage | 8 |
Distress to parents | 6 |
Child desaturating | 4 |
Other | 4 |
Child may be moribund | 2 |
CPR required | 2 |
Potential for harm (or harm not stated) | 131 |