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Table 1 Distribution of Events by Event Types

From: Our first review: an evaluation of effectiveness of root cause analysis recommendations in Hong Kong public hospitals

  Typea Event No. %
1 SE Surgery / interventional procedure involving the wrong patient or body part 8 4%
2 SE Retained instruments or other material after surgery / interventional procedure 29 14%
3 SE ABO incompatibility blood transfusion 1 0%
4 SE Medication error resulting in major permanent loss of function or death 0 0%
5 SE Intravascular gas embolism resulting in death or neurological damage 2 1%
6 SE Death of an inpatient from suicide (including home leave) 15 7%
7 SE Maternal death or serious morbidity associated with labour or delivery 4 2%
8 SE Infant discharged to wrong family or infant abduction 2 1%
9 SE Other adverse events (excluding complications) resulting in permanent loss of function or death 1 0%
10 SUE Medication error which could have led to death or permanent harm 137 64%
11 SUE Patient misidentification which could have led to death or permanent harm 15 7%
Total 214 100%
  1. aSE Sentinel Event; SUE Serious Untoward Event