Sentinel Events Reported by Private Hospitals in 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) | - | - | - | - | - | - | - | - | - | - | - | - |
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
| 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.