Comorbid conditions | Other medical conditions not related to the issue reported about that contributed to the incident | 109 |
Following clinical recommendations | Issues that arise when there is deviation from clinical recommendation | 97 |
Mental health | Emotional, behavioural, or psychological distress involved in incident. | 73 |
Disability | Physical or cognitive limitation involved in incident | 68 |
Administration of medications | Safety events that arise from issues with medication administration (eg taking too much or too little) | 68 |
Caregiver factor | Caregiver actions or inactions that may have accidentally contributed to the event | 53 |
Miscommunication | Communication breakdown (unable to reach patient, information not getting transmitted; patient/caregiver following up on issue) | 48 |
Environment or equipment issue | Safety issues with equipment or physical environment directly contributing to the event | 43 |
Patient education | Issues or barriers related to the healthcare team providing adequate education about disease management, medication management, practice policies or treatment protocols | 23 |
Reporting clinical information | Incidents where relevant clinical information was either intentionally or unintentionally withheld from the healthcare team (did not report symptoms or pertinent medical history) | 20 |
Socioeconomic factors | Issues involving insurance, income, transportation, employment or housing | 17 |
Competing priorities | Situations in which patient priorities, values, commitments, obligations are competing with medical recommendations | 15 |
Substance use | Safety issues involving use or misuse of pain medications, alcohol and/or drugs | 15 |
Self-care/nutrition | Situations that involve patients neglect of their physical or emotional health (skipping meals, not sleeping) | 12 |