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Sentinel Event and Serious Untoward Event Statistics

Sentinel Events Reported by Private Hospitals in 2023 (as at 31 December 2023)

Sentinel Events Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
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) - - - - - - - - - - - -
* Number of fatal cases is indicated in bracket.

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 31 December 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 - - - -
* Number of fatal cases is indicated in bracket.

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.

Statistics of Sentinel Events and Serious Untoward Events Reported by Private Hospitals in Previous Years