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Dublin: 12 °C Wednesday 19 June, 2013

Over 85,000 ‘adverse events’ recorded by HSE in 2011

The numbers include almost 10,000 incidents of violence, harassment, aggression and abuse.

File photo
File photo
Image: Eamonn Farrell/Photocall Ireland

THERE WERE OVER 85,000 ‘adverse events’ reported in Irish hospitals and community-based healthcare facilities in 2011, new figures released by the Health Service Executive (HSE) and the State Claims Agency have revealed.

The definition, as used by the groups, covers ‘near misses, where no harm was caused, to delays in access to services, to damage to a patient’s health and well-being’.

The exact figure of 85,918 resulted from the approximate 4.5 million patient interactions in Ireland last year.

(Adverse events for 2011, by category – 2011 Report)

The total adverse events reported for 2010 was 83,483. The 2011 figures, however, include figures for previously unrecorded events such as trips or falls in car parks and injuries involving vehicles operated by the HSE.

Slips, trips and falls accounted for almost one-third of all adverse events in 2011, with unsupervised patient falls accounting for almost half of these, at 13,130.

In ‘other categories’, there were 1,922 incidents related to equipment or devices and 437 incidents related to issues of consent and confidentiality.

The HSE National Director of Quality and Patient Safety, Dr Phillip Crowley, said:

Healthcare organisations with a high level of reporting of adverse events have a better patient safety profile than those that report less. There is now clear evidence of an enhanced culture of reporting within the HSE and the wider health service.
International data suggests that approximately one in ten hospital in-patients will experience some harm during their treatment and the report published today is in line with incident reporting statistics internationally.

To see the adverse event breakdown by category for 2011, click here.

To see the adverse event breakdown by category for 2010, click here.

Read: Three HSE staff dismissed over “very poor attendance records” >

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Comments (9 Comments)

  • Just shows hospitals are getting better at reporting incidents . It fosters a no blame culture . Incident reporting enables lessons to be learned . Let’s not forget some of these incidents pertain to staff members , members of the public . These are not just about patients .

    Reply
  • Then double that for the ones that weren’t reported………….

    Reply
  • Plenty of people with clip boards ensuring they stay in a job. Priceless statistical garbage.

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    • Jumpthecat

      With a name like that you obviously fall into the category of …..general operative or suchlike and therefor are unlikely to be aware that there is a legal obligation on employers to collect such data.
      I suggest you take that on board to avoid silly comments in future and a wast of readers time having to wade through garbage such as yours.
      Many thanks.

      Reply
  • Nurses are not the instigators of paperwork. Your ‘relative’ should get on and do his job which includes paperwork as demanded by the organisation he works for and also demanded by his professional code if conduct. In so many institutions in this country that have come under public scrutiny in recent times – a lack of evidence & reporting has added to the difficulties in sorting out the mess! And finally, Ireland has become one of the most notorious countries for litigation and as records are essential!

    Reply
    • I don’t think nurses are the problem, but the paperwork is. And my ‘relative’, as you put it, isn’t a he. The organisation she works for deems such forms a necessity but there isn’t a jot of evidence that they do anyone any good, apart from keeping people who have no interest in patient contact in a nice well-paid cushy office job with no responsibility.

      And as for the other commenter: “Incident forms are an important resource in highlighting the need for retraining and resource management”. More management gobbledygook, I’m afraid. Less filling out of useless forms should free more nursing staff and doctors up to do what they’re there to do – direct patient care. And if they don’t like that aspect of their role, I’m sure the risk management department is always hiring…

      Reply
  • There are two elements to this – the genuine incidents that need to be recorded and addressed, which lead to improvements in patient care, and the other aspect – the mindless paperwork pushing, epitomised best by the filling out of the dreaded “incident report form”. A relative is a junior doctor and apparently these things are the bane of their lives – nurses insist on form-filling at every instance, and a doctor has to co-sign after examining the patient.

    So instead of reviewing patients at night they spend half their nights filling out these forms at the insistence of paperwork-friendly nurses. Patient fell? Incident report form. Patient missed their lunch? Incident report form. Patient left ward to go to the pub? Incident report form. Junior doctor didn’t come quickly enough (likely bogged down with paperwork on another ward?) – you guessed it, incident report form! So while there’s a genuine element to these that have to be addressed, they’re not only massively overused – which results in these figures here – but there’s a definite element to keeping people in their jobs.

    So the comment above on ‘statistical garbage’ is well on the money. For example, every hospital now has a “risk management department” staffed to the gills with paper pushers on €50,000 plus-per-year. What do they do? No one knows. But it involves these mysterious incident report forms, and the figures you see above. Yet another HSE win!

    Reply
    • Blame the nurses, ah yeah that’ll sort everything! Unfortunately your relative has not yet learned that healthcare workers work as a team to provide the best care possible to patients with very much reduced resources. Incident forms are an important resource in highlighting the need for retraining and resource management. No one likes filling them in. Any suggestion of otherwise is a bit offensive.

      Reply
  • Another reason why reilly should stand down

    Reply

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