Patient Safety: Achieving a New Standard for Care (2004)

Chapter: Appendix G: Australian Incident Monitoring System Taxonomy

Previous Chapter: Appendix F: Quality Improvement and Proactive Hazard Analysis Models: Deciphering a New Tower of Babel
Suggested Citation: "Appendix G: Australian Incident Monitoring System Taxonomy." Institute of Medicine. 2004. Patient Safety: Achieving a New Standard for Care. Washington, DC: The National Academies Press. doi: 10.17226/10863.

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

Suggested Citation: "Appendix G: Australian Incident Monitoring System Taxonomy." Institute of Medicine. 2004. Patient Safety: Achieving a New Standard for Care. Washington, DC: The National Academies Press. doi: 10.17226/10863.

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

Suggested Citation: "Appendix G: Australian Incident Monitoring System Taxonomy." Institute of Medicine. 2004. Patient Safety: Achieving a New Standard for Care. Washington, DC: The National Academies Press. doi: 10.17226/10863.
Page 509
Suggested Citation: "Appendix G: Australian Incident Monitoring System Taxonomy." Institute of Medicine. 2004. Patient Safety: Achieving a New Standard for Care. Washington, DC: The National Academies Press. doi: 10.17226/10863.
Page 510
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