Baseline n (%) | Postintervention n (%) | χ2 (P values) | |
Number of hospital cases | 16 264 | 16 755 | |
Incidence | |||
SAC 3 events* | 22 (100.0) | 42 (100.0) | – |
Incident type | |||
Pathology | 7 (31.8) | 23 (54.8) | 3.1 (0.081) |
Invasive/non-invasive care | 15 (68.2) | 19 (45.2) | |
Stage of procedure | |||
Specimen collection | 5 (22.7) | 16 (38.1) | 3.1 (0.377) |
During intervention | 12 (54.5) | 14 (33.3) | |
After intervention | 3 (13.6) | 5 (11.9) | |
Request | 2 (9.1) | 7 (16.7) | |
Issues | |||
Inadequate/no Labelling | 7 (31.8) | 23 (54.8) | 6.0 (0.248) |
Incorrect count | 11 (50.0) | 15 (35.7) | |
Retained object/instrument | 3 (13.6) | 1 (2.4) | |
Wrong body part/side/site | 1 (4.5) | 3 (7.1) | |
Patient outcome | |||
No harm | 20 (90.9) | 37 (88.1) | 0.1 (0.732) |
Minimal harm | 2 (9.1) | 5 (11.9) |
*SAC event, Severity Assessment Code. SAC 3 results in minimal or no harm, which is reasonably expected as an outcome of healthcare.