The impact of a standardized incident reporting system in the perioperative setting: a single center experience on 2,563 ‘near-misses’ and adverse events

Table 11 Patient consequences and risk of recurrence of SOP related incidents

A. Reported SOP-related perioperative adverse events and ‘near-miss’events (n = 877)
Estimated Patient consequences						Total
Catastrophe	0	0	0	0	0	0
Very serious	6	2	4	6	1	19
Serious	6	12	39	4	0	61
Marginally serious	15	27	79	17	4	142
None	139	164	254	72	26	655
Total	166	205	376	99	31	877
Estimated risk of recurrence	Almost inevitable	Probable	Possible	Small	Negligible
B. Reported SOP-related perioperative adverse events (n = 471)
Catastrophe	0	0	0	0	0	0
Very serious	1	1	4	3	1	10
Serious	2	9	25	3	0	39
Marginally serious	8	16	62	13	3	102
None	59	91	117	39	14	320
Total	70	117	208	58	18	471
Estimated risk of recurrence	Almost inevitable	Probable	Possible	Small	Negligible

ISSN: 1754-9493