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Table 1 The criteria used to determine the severity of incidents

From: Quality review of an adverse incident reporting system and root cause analysis of serious adverse surgical incidents in a teaching hospital of Scotland

 

Consequences

Score

Descriptor

Objective

Cost

Physical harm

People affected

Schedule

Reputation

1 (Green)

Negligible

Minimal impact, no service disruption

Minimal financial loss (<10 K)

No obvious harm or injury

None

Minimal

No interest to press. Internal

2 (Green)

Minor

Minimal impact on service provision

Moderate financial loss 10-50 K

First aid treatment. Non-permanent harm of up to 1 month

1-2

Increased level of care. Increased length of stay 1–7 days

Some public embarrassment. No damage to reputation or standing in the community

3 (Amber)

Moderate

Service objective partially achievable

Significant financial loss (50-100 K)

Medical treatment required. Semi- permanent harm up to 1 year

3-15

8-15 days. Pressure on service provision

Local adverse public embarrassment, leading to limited damage. Local MP interested on ME legal implication.

4 (Red)

Major

Significant impact on service provision

Major financial loss 100 K-1 million

Extensive injury with possible permanent harm

16-50

>15 days. Temporary service closure

National adverse publicity. May have caused loss of confidence in the organisation

5 (Red)

Catastrophic

Unable to function inability to fulfil corporate obligations

Significant financial loss (>1 million)

Death

>50

Extended service closure

Highly damaging international adverse publicity. Severe loss of public confidence. Court enforcement. Public accounts committee enquiry.