Slide Presentation from the AHRQ 2007 Annual Conference

Event Categories

• Unobserved Falls
• Observed Falls
• Elopement
• Delay In Tests or Treatments
• All Laboratory Specimen Related Occurrences Except Delays
• Injury or Exposure to Hospital Staff
• Omitted Medication Doses*
• Wrong Medication Administered*
• Wrong Dose of Drug*
• Adverse Drug Reactions
• Patient Misidentification*

Notes:

These 11 event categories were identified during the pilot study of 8 hospitals and have been used throughout the project for reporting.