Area of safety failure: broad themes within incident reports | Specific safety failures within incident reports: subthemes | No harm (% of subtheme) | Harm (% of subtheme) | Moderate or severe (% of subtheme) | Total, n (% of total reports) |
Failures to recognise care needs and intervene appropriately | Inadequate planning of health or social interventions | 126 (68) | 51 (27) | 10 (5) | 187 (16) |
Failure or delayed recognition of children in need | 87 (53) | 47 (29) | 28 (18) | 162 (14) | |
Incidents completing standard assessments or investigations | 45 (35) | 65 (51) | 18 (14) | 128 (11) | |
Treatment and medication-related incidents | 23 (27) | 45 (53) | 18 (20) | 86 (7) | |
Difficulty accessing or engaging with healthcare providers | 32 (65) | 11 (23) | 6 (12) | 49 (4) | |
Inadequate provision of essential equipment | 13 (43) | 17 (56) | 0 | 30 (3) | |
Information transfer and documentation failures | Medical documentation incidents | 74 (67) | 36 (32) | 1 (2) | 111 (9) |
Information sharing incidents | 64 (67) | 29 (31) | 2 (2) | 95 (8) | |
Poor management of patient healthcare appointments | 35 (73) | 12 (25) | (2) | 48 (4) | |
Communication incidents (face to face) | 7 (17) | 29 (71) | 5 (12) | 41 (4) | |
Referral failures between health and social care services | Delayed or incomplete referral of patients between services | 71 (42) | 78 (46) | 20 (12) | 169 (14) |
Breaches of confidentiality | 19 (39) | 29 (59) | 1 (2) | 49 (4) | |
Other | Unprofessional conduct of healthcare providers | 15 (54) | 13 (46) | 0 (0) | 28 (2) |
Total | 611 (52) | 462 (39) | 110 (9) | 1183 (100) |