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Table 1 Incident severity classification system recommended by the National University Hospital Council of Japan

From: Significance of incident reports by medical doctors for organizational transparency and driving forces for patient safety

Level

Continuity of injury

Severity of injury

Outcome/Treatment of injury

Level 0

–

–

Error or trouble with a pharmaceutical or medical device was found, but did not affect the patient

Level 1

None

–

There was no harm to the patient (but there was a possibility of some influence)

Level 2

Transient

Mild

Treatment was not necessary (mild change in vital signs, need for increased patient observation, examination for confirmation of safety, etc.)

Level 3a

Transient

Moderate

Simple treatment was required (disinfection, poultice, skin suture, administration of analgesics, etc.)

Level 3b

Transient

Severe

Substantial treatment was required (significant change in vital signs, use of artificial respirator, surgery, prolongation of hospitalization, hospitalization, fracture, etc.)

Level 4a

Permanent

Mild to moderate

Permanent disability or subsequent complication remained, but was not accompanied by significant dysfunction or an aesthetic problem

Level 4b

Permanent

Moderate to severe

Permanent disability or subsequent complication remained, accompanied with significant dysfunction or an aesthetic problem

Level 5

Death

–

Death (excluding those due to the natural course of the underlying disease)