Table 2

Harm associated with different safety failures

Area of safety failure: broad themes within incident reportsSpecific safety failures within incident reports: subthemesNo harm
(% of subtheme)
Harm
(% of subtheme)
Moderate or severe
(% of subtheme)
Total, n
(% of total reports)
Failures to recognise care needs and intervene appropriatelyInadequate planning of health or social interventions126 (68)51 (27)10 (5)187 (16)
Failure or delayed recognition of children in need87 (53)47 (29)28 (18)162 (14)
Incidents completing standard assessments or investigations45 (35)65 (51)18 (14)128 (11)
Treatment and medication-related incidents23 (27)45 (53)18 (20)86 (7)
Difficulty accessing or engaging with healthcare providers32 (65)11 (23)6 (12)49 (4)
Inadequate provision of essential equipment13 (43)17 (56)030 (3)
Information transfer and documentation failuresMedical documentation incidents74 (67)36 (32)1 (2)111 (9)
Information sharing incidents64 (67)29 (31)2 (2)95 (8)
Poor management of patient healthcare appointments35 (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 servicesDelayed or incomplete referral of patients between services71 (42)78 (46)20 (12)169 (14)
Breaches of confidentiality19 (39)29 (59)1 (2)49 (4)
OtherUnprofessional conduct of healthcare providers15 (54)13 (46)0 (0)28 (2)
Total611 (52)462 (39)110 (9)1183 (100)