Frequency and proportion of safety incidents by category
| Frequency | Per cent | |
| Administration | 27 | 31.0 |
| 1.5 Ability to access physician/HCP: patient delayed or unable to see/speak to physician or HCP | 21 | 24.1 |
| 1.6.1 Errors in communication between healthcare settings | 1 | 1.1 |
| 1.6.1.1 Errors in communication of information from primary to secondary care | 1 | 1.1 |
| 1.6.1.2 Errors in communication of information from secondary to primary care | 2 | 2.3 |
| 1.6.1.3 Errors in communication between different settings within primary care | 1 | 1.1 |
| 1.6.6 Errors in sending communication to patients | 1 | 1.1 |
| Referral | 6 | 6.9 |
| 3.1.1.1 Delayed referral: errors in the timely referral of patients | 3 | 3.4 |
| 3.1.1.3 No follow-up arranged: did not follow-up patient or were not asked to follow up | 1 | 1.1 |
| 3.1.5 Inappropriate referral | 2 | 2.3 |
| Diagnosis and assessment | 16 | 18.4 |
| 4.1.2 Diagnosis: wrong diagnosis | 1 | 1.1 |
| 4.1.3 Diagnosis: delayed diagnosis | 1 | 1.1 |
| 4.1.3.2 Emergency condition: diagnosis of an emergency condition delayed | 1 | 1.1 |
| 4.1.3.2 Emergency condition: diagnosis of an emergency condition delayed or more likely | 1 | 1.1 |
| 4.2 Insufficient assessment: error in the process of assessing a patient | 6 | 6.9 |
| 4.2.1 Triage: errors in the process of triaging patients | 1 | 1.1 |
| 4.2.1.2 Error in the process of assessing a patient: by non-HCP | 2 | 2.3 |
| 4.2.3 Examination: errors in the process of examining patients | 1 | 1.1 |
| 4.2.6 Identifying ‘at-risk’ patients: errors in the process of identifying vulnerable patients or patients at high risk | 1 | 1.1 |
| 4.2.6.2 Mental health errors: in the process of identifying patients at risk due to mental health problems | 1 | 1.1 |
| Medication/vaccines | 9 | 10.4 |
| 6.12 Medication unavailable | 2 | 2.3 |
| 6.2 Prescribing medications: wrong medication or wrong dose of medication prescribed or medication not prescribed when appropriate | 1 | 1.1 |
| 6.2.7 Contraindicated medication: prescribed for patient which is contraindicated by patient’s medical or drug history | 1 | 1.1 |
| 6.2.9 Errors in prescribing medication: medication prescribed to the patient who has a known allergy to given medication | 1 | 1.1 |
| 6.5 Monitoring medication: error in the process of monitoring dose-dependent medications, or those with side effects | 1 | 1.1 |
| 6.6 Adverse event: patient suffered a complication as a result of medication | 1 | 1.1 |
| Delayed dispensing of medication* | 1 | 1.1 |
| Prescription out of date* | 1 | 1.1 |
| Investigations: errors in the process of investigating a patient’s condition | 4 | 4.6 |
| 7.1.1 Ordering laboratory investigations: wrong test ordered or test not ordered when appropriate | 1 | 1.1 |
| 7.1.3 Reporting laboratory investigations: error in the process of physician receiving accurate test results including errors of delay | 1 | 1.1 |
| 7.2.3 Reporting diagnostic imaging: error in the process of physician receiving accurate test results including errors of delay | 1 | 1.1 |
| 7.3.3 Reporting other investigations: error in the process of physician receiving accurate test results including errors of delay | 1 | 1.1 |
| Communication failures or breakdowns of communication | 2 | 2.3 |
| 8.1 Errors in communication between physicians or HCP and patients | 2 | 2.3 |
| Equipment | 2 | 2.3 |
| 9.1.3 Equipment: not used | 1 | 1.1 |
| 9.2 Equipment: insufficient supply | 1 | 1.1 |
| Other | 21 | 24.1 |
| 10.1 Professionalism: errors in the professional conduct of HCPs | 5 | 5.7 |
| 10.1.1 Breach of confidentiality: errors of confidentiality arising from the professional conduct of HCPs | 2 | 2.3 |
| 10.2 Environmental hazard | 2 | 2.3 |
| Patient exhibiting threatening behaviour to staff* | 1 | 1.1 |
| Insufficient detail | 4 | 4.6 |
| No incident described | 7 | 8.0 |
| Total | 87 | 100.0 |
Categories derived using the Primary Care Patient Safety Classification System.49
*Self-derived codes.
HCP, healthcare professional.