Sentinel Events Reported by Private Hospitals in 2023 (as at 31 July 2023)
|1||Surgery / interventional procedure involving a wrong patient or body part||-||-||-||-||-||-||-|
|2||Retained instruments or other material after surgery / interventional procedure||-||-||-||-||-||1(0)||-|
|3||ABO incompatibility blood transfusion||-||-||-||-||-||-||-|
|4||Medication error resulting in major permanent loss of function or death||-||-||-||-||-||-||-|
|5||Intravascular gas embolism resulting in death or neurological damage||-||-||-||-||-||-||-|
|6||Death of an inpatient from suicide (including home leave)||-||-||-||-||-||-||-|
|7||Maternal death or serious morbidity associated with labour or delivery||-||-||-||-||-||-||1(1)|
|8||Infant discharged to wrong family or infant abduction||-||-||-||-||-||-||-|
|9||Other adverse events resulting in permanent loss of function or death (excluding complications)||-||-||-||-||-||-||-|
Summary of Sentinel Event in June 2023:
In June 2023, one sentinel event was reported by private hospitals. The event involved retention of part of a surgical item after laparoscopic surgery.
Summary of Sentinel Event in July 2023:
In July 2023, one sentinel event was reported by private hospitals. The event involved a maternal death of a 31-year-old female who had undergone caesarean section.
Serious Untoward Events Reported by Private Hospitals in 2023 (as at 30 June 2023)
|Serious Untoward Events||Jan-Mar||Apr-Jun||Jul-Sep||Oct-Dec|
|1||Medication error which could have led to death or permanent harm or carries a significant public health risk||1(0)||-|
|2||Patient misidentification which could have led to death or permanent harm||-||-|
Highlight in first quarter of 2023
In the first quarter of 2023, one serious untoward event (SUE) of medication error was reported by private hospitals. The event involved a patient who was administered with an inotropic/ vasopressor medication through the wrong route.