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 8 Estimated potential patient consequences and risk of recurrence of the 1,263 voluntarily reported perioperative ‘near-miss’ events

Patient consequences could have been						Total
Catastrophe	0	0	1	0	0	1
Very serious	10	7	15	6	6	44
Serious	13	37	27	3	1	81
Marginally serious	19	26	49	11	2	107
None	205	207	434	138	46	1030
Total	247	277	526	158	55	1263
Estimated risk of recurrence	Almost inevitable	Probable	Possible	Small	Negligible

Estimated potential patient consequences and risk of recurrence of the 1,263 voluntarily reported perioperative ‘near-miss’ events.

ISSN: 1754-9493