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OCR for page 509
Patient Safety: Achieving a New Standard for Care G Australian Incident Monitoring System Taxonomy Health Incident Type Component Factors Therapeutic agents Medication Intravenous fluids Oxygen and gases Blood and blood products Nutrition Therapeutic devices and equipment services and infrastructure Equipment or therapeutic device Infrastructure and services Buildings, fittings, fixtures, and surroundings Injuries and pressure ulcers Falls Injuries unrelated to falls Pressure ulcers Clinical processes or procedures Nosocomial infections Factors: Environmental Factors: Organizational Factors: Human Factors: Subject of incident Factors: Agents Agent Incident type Incident problem class Person involved Timing of incident Timing of detection Method of detection Preventability Factors that minimized or aggravated severity of incident Outcome for subject of incident Severity of outcome for subject of incident Consequences for organization Short-term response or action taken Subsequent response or action taken Resource impact Risk level

OCR for page 509
Patient Safety: Achieving a New Standard for Care Health Incident Type Component Factors Behavior, human performance, violence, aggression, security, and safety Behavior and human performance Violence and aggression Safety and security Logistics, organization, documentation, and infrastructure technology Logistics and organization Documentation Information technology Specialist domains (completed) Anesthesia Intensive care Obstetrics Hyperbaric medicine, etc. Hospital pharmacy Retrieval medicine Retail pharmacy Other sources of data Complaint cases Coronial cases Medico-legal cases Literature and media reports Consumer reports Occupational health and safety reports Narrative(s) Time, date, location Persons reporting incident Specialist domains to be developed Hemovigilance Ambulance services Surgical specialties Internal medicine specialties Neonatal intensive care unit Ophthalmology Orthopedic surgery Gynecology Radiotherapy Domiciliary care Other areas as required