Sentinel Events Reported by Day Procedure Centres in 2024 (as at 31 May 2024)
| 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 | - | - | - | - | - | |||||||
| 3 | Medication error resulting in major permanent loss of function or death | - | - | - | - | - | |||||||
| 4 | Intravascular gas embolism resulting in death or neurological damage | - | - | - | - | - | |||||||
| 5 | Other adverse events resulting in permanent loss of function or death (excluding complications) | - | - | - | - | - |
Serious Untoward Events Reported by Day Procedure Centres in 2024 (as at 31 March 2024)
| 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 | 2(0) | |||
| 2 | Patient misidentification which could have led to death or permanent harm | - |
Highlight in first quarter of 2024
In the first quarter of 2024, two serious untoward events (SUE) of medication error were reported by day procedure centres. The first event involved a patient who was wrongly dispensed with a thrombopoietin receptor agonist. The second event involved a patient who was administered with an intravenous chemotherapy drug at a wrong infusion rate.