a , ; "Soft tissue injury received while having procedure"@en ; "Graze or Laceration or Bruise"@en ; "16/11/2020" ; "AIR" ; "Soft tissue injury received while having procedure"@en ; ; "Graze or Laceration or Bruise"@en . a , ; "Receiving fluid splash to face or mucosal areas such as eyes or mouth"@en ; "Body Fluid - splash exposure"@en ; "16/11/2020" ; "AIR" ; "Receiving fluid splash to face or mucosal areas such as eyes or mouth"@en ; ; "Body Fluid - splash exposure"@en . a , ; "Unexpected / unanticipated complication follwing procedure"@en ; "Unexpected complication during or following operation or procedure"@en ; "16/11/2020" ; "AIR" ; "Unexpected / unanticipated complication follwing procedure"@en ; ; "Unexpected complication during or following operation or procedure"@en . a , ; "Injury received when moving a patient / pushing a wheelchair"@en ; "Involving a Patient"@en ; "16/11/2020" ; "AIR" ; "Injury received when moving a patient / pushing a wheelchair"@en ; ; "Involving a Patient"@en . a , ; "Any treatment carried out on a patient"@en ; "Procedures"@en ; "16/11/2020" ; "AIR" ; "Any treatment carried out on a patient"@en ; ; , , , , , , , , , , , , , , , , ; "Procedures"@en . a , ; "Heat and or burn damage"@en ; "Steam or Hot surface or Scald"@en ; "16/11/2020" ; "AIR" ; "Heat and or burn damage"@en ; ; "Steam or Hot surface or Scald"@en . a , ; "Leaves hospital grounds and patient knowingly"@en ; "Absconding off site - has capacity"@en ; "16/11/2020" ; "AIR" ; "Leaves hospital grounds and patient knowingly"@en ; ; "Absconding off site - has capacity"@en . a , ; "Steal / losing"@en ; "Theft or Loss"@en ; "16/11/2020" ; "AIR" ; "Steal / losing"@en ; ; , , ; "Theft or Loss"@en . a , ; "Malware / cyber attacks"@en ; "Virus or Hacking Attack on IT system"@en ; "16/11/2020" ; "AIR" ; "Malware / cyber attacks"@en ; ; "Virus or Hacking Attack on IT system"@en . a , ; "Records not available at the point of care"@en ; "Clinical records Missing or Unavailable"@en ; "16/11/2020" ; "AIR" ; "Records not available at the point of care"@en ; ; "Clinical records Missing or Unavailable"@en . a , ; "Lifting / moving loads"@en ; "Moving and handling"@en ; "16/11/2020" ; "AIR" ; "Lifting / moving loads"@en ; ; , , ; "Moving and handling"@en . a , ; "Technical / mechanical / electrical medical device issues"@en ; "Equipment or Device Issue"@en ; "16/11/2020" ; "AIR" ; "Technical / mechanical / electrical medical device issues"@en ; ; , , ; "Equipment or Device Issue"@en . a , ; "From furniture"@en ; "From chair"@en ; "16/11/2020" ; "AIR" ; "From furniture"@en ; ; "From chair"@en . a , ; "Staff levels not meeting work demands"@en ; "Unsafe Staff Levels or Workload"@en ; "16/11/2020" ; "AIR" ; "Staff levels not meeting work demands"@en ; ; "Unsafe Staff Levels or Workload"@en . a , ; "Contrast medium leaking out of vein into surrounding tissues"@en ; "Extravasation of contrast"@en ; "16/11/2020" ; "AIR" ; "Contrast medium leaking out of vein into surrounding tissues"@en ; ; "Extravasation of contrast"@en . a , ; "Related to intubation or Theatre related"@en ; "Anaesthetic Related Event"@en ; "16/11/2020" ; "AIR" ; "Related to intubation or Theatre related"@en ; ; , , , , , , , , , ; "Anaesthetic Related Event"@en . a , ; "From height such as chair / ladder"@en ; "from Height"@en ; "16/11/2020" ; "AIR" ; "From height such as chair / ladder"@en ; ; "from Height"@en . a , ; "Correct identity"@en ; "Records or Documentation or Identity"@en ; "16/11/2020" ; "AIR" ; "Correct identity"@en ; ; , , , , , , , , , ; "Records or Documentation or Identity"@en . a , ; "When upright"@en ; "From Standing"@en ; "16/11/2020" ; "AIR" ; "When upright"@en ; ; "From Standing"@en . a , ; "From needles"@en ; "Staff Needlestick Injury"@en ; "16/11/2020" ; "AIR" ; "From needles"@en ; ; "Staff Needlestick Injury"@en . a , ; "Prescribed product given to incorrect patient"@en ; "Blood Product given to wrong patient"@en ; "16/11/2020" ; "AIR" ; "Prescribed product given to incorrect patient"@en ; ; "Blood Product given to wrong patient"@en . a , ; "Tissue injury from medical diathermy device in Theatre"@en ; "Diathermy injury"@en ; "16/11/2020" ; "AIR" ; "Tissue injury from medical diathermy device in Theatre"@en ; ; "Diathermy injury"@en . a , ; "Altering or dmaaaging, destroying information or knowingly steals from Hospital"@en ; "Fraud"@en ; "16/11/2020" ; "AIR" ; "Altering or dmaaaging, destroying information or knowingly steals from Hospital"@en ; ; "Fraud"@en . a , ; "Failure to adhere to data and IT security policies & procedures"@en ; "Misuse of Internet or IT system"@en ; "16/11/2020" ; "AIR" ; "Failure to adhere to data and IT security policies & procedures"@en ; ; "Misuse of Internet or IT system"@en . a , ; "Failure to carry out identity safety checks"@en ; "Incorrect 3 Point Checks"@en ; "16/11/2020" ; "AIR" ; "Failure to carry out identity safety checks"@en ; ; "Incorrect 3 Point Checks"@en . a , ; "Leaves hospital grounds and patient lacks capacity to make informed decisions"@en ; "Absconding off site - lacks capacity"@en ; "16/11/2020" ; "AIR" ; "Leaves hospital grounds and patient lacks capacity to make informed decisions"@en ; ; "Absconding off site - lacks capacity"@en . a , ; "Xraying a person who has had radio-iodine therapy within the previous 36 hours"@en ; "Inadvertent exposure to person who has radioiodine therapy"@en ; "16/11/2020" ; "AIR" ; "Xraying a person who has had radio-iodine therapy within the previous 36 hours"@en ; ; "Inadvertent exposure to person who has radioiodine therapy"@en . a , ; "Event related to medications admininstered during surgery"@en ; "Medication related event"@en ; "16/11/2020" ; "AIR" ; "Event related to medications admininstered during surgery"@en ; ; "Medication related event"@en . a , ; "Failing to meet the water standards due to contamination or not reaching temperature"@en ; "Water safety"@en ; "16/11/2020" ; "AIR" ; "Failing to meet the water standards due to contamination or not reaching temperature"@en ; ; "Water safety"@en . a , ; "Accessing any area without permission"@en ; "Trespassing"@en ; "16/11/2020" ; "AIR" ; "Accessing any area without permission"@en ; ; "Trespassing"@en . a , ; "Theft or accidental loss of property"@en ; "Theft or Loss of Property"@en ; "16/11/2020" ; "AIR" ; "Theft or accidental loss of property"@en ; ; "Theft or Loss of Property"@en . a , ; "Incorrect test performed leading to a delay or failure in reaching a diagnosis"@en ; "Incorrect Test performed"@en ; "16/11/2020" ; "AIR" ; "Incorrect test performed leading to a delay or failure in reaching a diagnosis"@en ; ; "Incorrect Test performed"@en . a , ; "Failure to / delay in having procedure"@en ; "Delayed or cancelled operation or procedure"@en ; "16/11/2020" ; "AIR" ; "Failure to / delay in having procedure"@en ; ; "Delayed or cancelled operation or procedure"@en . a , ; "Reaction to anaesthetic medications or equipment"@en ; "Anaphylaxis"@en ; "16/11/2020" ; "AIR" ; "Reaction to anaesthetic medications or equipment"@en ; ; "Anaphylaxis"@en . a , ; "From machine"@en ; "From Machine"@en ; "16/11/2020" ; "AIR" ; "From machine"@en ; ; "From Machine"@en . a , ; "Omission of any handover"@en ; "Failure to Communicate"@en ; "16/11/2020" ; "AIR" ; "Omission of any handover"@en ; ; "Failure to Communicate"@en . a , ; "Documentation that cannot be read or interpreted"@en ; "Illegible Documentation"@en ; "16/11/2020" ; "AIR" ; "Documentation that cannot be read or interpreted"@en ; ; "Illegible Documentation"@en . a , ; "Failure to administer a prescribed blood product"@en ; "Omission of blood product"@en ; "14/12/2020" ; "AIR" ; "Failure to administer a prescribed blood product"@en ; ; "Omission of blood product"@en . a , ; "Blood crossmatch sample mislabelled at the point of care"@en ; "Mislabelled sample (transfusion)"@en ; "14/12/2020" ; "AIR" ; "Blood crossmatch sample mislabelled at the point of care"@en ; ; "Mislabelled sample (transfusion)"@en . a , ; "FALL"@en ; "Patient Fall or Near Miss Fall"@en ; "16/11/2020" ; "AIR" ; "FALL"@en ; ; , , , , , , , ; "Patient Fall or Near Miss Fall"@en . a , ; "Source of potential harm or damage"@en ; "Hazard"@en ; "16/11/2020" ; "AIR" ; "Source of potential harm or damage"@en ; ; , , , , , , , , ; "Hazard"@en . a , ; "Behaviour that is unwarranted or disruptive"@en ; "Inappropriate Behaviour"@en ; "16/11/2020" ; "AIR" ; "Behaviour that is unwarranted or disruptive"@en ; ; "Inappropriate Behaviour"@en . a , ; "Incorrect sized slig used when listing patient / incorrect suture used in Theatre"@en ; "Incorrect Device or Equipment used"@en ; "16/11/2020" ; "AIR" ; "Incorrect sized slig used when listing patient / incorrect suture used in Theatre"@en ; ; "Incorrect Device or Equipment used"@en . a , ; "Part of body exposed to ionising radiation when not intended"@en ; "Exposure where none intended"@en ; "16/11/2020" ; "AIR" ; "Part of body exposed to ionising radiation when not intended"@en ; ; "Exposure where none intended"@en . a , ; "Exposure to ionising radiation due to equipment failure"@en , "Failure in anaesthetic equipment"@en ; "Equipment Failure or Malfunction"@en ; "16/11/2020" ; "AIR" ; "Failure in anaesthetic equipment"@en , "Exposure to ionising radiation due to equipment failure"@en ; ; "Equipment Failure or Malfunction"@en . a , ; "Patient sustains injury from positioning for procedure"@en ; "Patient positioning event leading to injury"@en ; "16/11/2020" ; "AIR" ; "Patient sustains injury from positioning for procedure"@en ; ; "Patient positioning event leading to injury"@en . a , ; "Airway tightening making oxygenation difficult"@en ; "Bronchospasm"@en ; "16/11/2020" ; "AIR" ; "Airway tightening making oxygenation difficult"@en ; ; "Bronchospasm"@en . a , ; "Compatability issues requiring follow up"@en ; "Haemovigilance or Traceability"@en ; "16/11/2020" ; "AIR" ; "Compatability issues requiring follow up"@en ; ; "Haemovigilance or Traceability"@en . a , ; "Unwelcome sexual advances either explicit or implicit"@en ; "Sexual Assault or Harassment"@en ; "16/11/2020" ; "AIR" ; "Unwelcome sexual advances either explicit or implicit"@en ; ; "Sexual Assault or Harassment"@en . a , ; "Risks associated with incorrect use of gases"@en ; "Gas or Fume Safety"@en ; "16/11/2020" ; "AIR" ; "Risks associated with incorrect use of gases"@en ; ; "Gas or Fume Safety"@en . a , ; "Incorrect medical records used on wrong patient"@en ; "Wrong medical records applied to pt"@en ; "16/11/2020" ; "AIR" ; "Incorrect medical records used on wrong patient"@en ; ; "Wrong medical records applied to pt"@en . a , ; "Difficulty securing airway for surgery"@en ; "Intubation or Airway Event"@en ; "16/11/2020" ; "AIR" ; "Difficulty securing airway for surgery"@en ; ; "Intubation or Airway Event"@en . a , ; "Delay in access or prolonged waiting time [ie OPD waiting lists, CTs etc]"@en ; "Delay to Access Services"@en ; "16/11/2020" ; "AIR" ; "Delay in access or prolonged waiting time [ie OPD waiting lists, CTs etc]"@en ; ; "Delay to Access Services"@en . a , ; "As taken from the Universal Declaration of Human Rights UN 1948"@en ; "Dignity & Privacy"@en ; "16/11/2020" ; "AIR" ; "As taken from the Universal Declaration of Human Rights UN 1948"@en ; ; , ; "Dignity & Privacy"@en . a , ; "Hit by moving object"@en ; "Struck by Object"@en ; "16/11/2020" ; "AIR" ; "Hit by moving object"@en ; ; "Struck by Object"@en . a , ; "Risksk associated with chemo medication"@en ; "Cytotoxic Safety"@en ; "16/11/2020" ; "AIR" ; "Risksk associated with chemo medication"@en ; ; "Cytotoxic Safety"@en . a , ; "Damage to mucosal area such as lip swelling from tubes or eye damage from being struck etc"@en ; "Mucosal Lesion"@en ; "16/11/2020" ; "AIR" ; "Damage to mucosal area such as lip swelling from tubes or eye damage from being struck etc"@en ; ; "Mucosal Lesion"@en . a , ; "Breach of data protection policy"@en ; "Data Protection breach"@en ; "16/11/2020" ; "AIR" ; "Breach of data protection policy"@en ; ; "Data Protection breach"@en . a , ; "Blood product administered but not correctly prescribed in advance"@en ; "Incorrect or no prescription for blood"@en ; "16/11/2020" ; "AIR" ; "Blood product administered but not correctly prescribed in advance"@en ; ; "Incorrect or no prescription for blood"@en . a , ; "Self harm"@en ; "Self Harm"@en ; "16/11/2020" ; "AIR" ; "Self harm"@en ; ; , , , , ; "Self Harm"@en . a , ; "Too much radiation above what is needed to complete procedure"@en ; "Overexposure"@en ; "16/11/2020" ; "AIR" ; "Too much radiation above what is needed to complete procedure"@en ; ; "Overexposure"@en . a , ; "Wrong site operated on"@en ; "Wrong site surgery or procedure"@en ; "16/11/2020" ; "AIR" ; "Wrong site operated on"@en ; ; "Wrong site surgery or procedure"@en . a , ; "Problems with AHU"@en ; "Air Conditioning or Ventilation or Extraction systems safety"@en ; "16/11/2020" ; "AIR" ; "Problems with AHU"@en ; ; "Air Conditioning or Ventilation or Extraction systems safety"@en . a , ; "Unintended harm"@en ; "Unplanned Event"@en ; "16/11/2020" ; "AIR" ; "Unintended harm"@en ; ; , , , ; "Unplanned Event"@en . a , ; "Choking on object / food"@en ; "Choking Episode"@en ; "16/11/2020" ; "AIR" ; "Choking on object / food"@en ; ; "Choking Episode"@en . a , ; "Interventions to treat conditions"@en ; "Treatment"@en ; "16/11/2020" ; "AIR" ; "Interventions to treat conditions"@en ; ; , , ; "Treatment"@en . a , ; "Red cels requested but platelets transfused]"@en ; "Incorrect Blood Product given"@en ; "16/11/2020" ; "AIR" ; "Red cels requested but platelets transfused]"@en ; ; "Incorrect Blood Product given"@en . a , ; "Defacing Hospital property"@en ; "Vandalism"@en ; "16/11/2020" ; "AIR" ; "Defacing Hospital property"@en ; ; "Vandalism"@en . a , ; "Direct pressure damage to tissues"@en , "Damage to patients skin"@en ; "Pressure Ulcer"@en ; "16/11/2020" ; "AIR" ; "Direct pressure damage to tissues"@en , "Damage to patients skin"@en ; ; , ; "Pressure Ulcer"@en . a , ; "Recurring risk of leaving clinical area / wanders off"@en ; "At Risk of Absconding"@en ; "16/11/2020" ; "AIR" ; "Recurring risk of leaving clinical area / wanders off"@en ; ; "At Risk of Absconding"@en . a , ; "Assault on person"@en ; "Physical Assault or Attempted Physical Assault"@en ; "16/11/2020" ; "AIR" ; "Assault on person"@en ; ; "Physical Assault or Attempted Physical Assault"@en . a , ; "Use of illicit or non-hospital prescribed drugs"@en ; "Drug Misuse"@en ; "16/11/2020" ; "AIR" ; "Use of illicit or non-hospital prescribed drugs"@en ; ; "Drug Misuse"@en . a , ; "Inadequate number of isolation rooms to meet demand"@en ; "Lack of Isolation facilities"@en ; "16/11/2020" ; "AIR" ; "Inadequate number of isolation rooms to meet demand"@en ; ; "Lack of Isolation facilities"@en . a , ; "Incorrect procedure carried out"@en ; "Incorrect Surgery or procedure"@en ; "16/11/2020" ; "AIR" ; "Incorrect procedure carried out"@en ; ; "Incorrect Surgery or procedure"@en . a , ; "Unintended large bleed"@en ; "Haemorrhage"@en ; "16/11/2020" ; "AIR" ; "Unintended large bleed"@en ; ; "Haemorrhage"@en . a , ; "From seating position"@en ; "from chair or commode or toilet"@en ; "16/11/2020" ; "AIR" ; "From seating position"@en ; ; "from chair or commode or toilet"@en . a , ; "Patient refuses treatment offered resulting in harm"@en ; "Refusal of Treatment"@en ; "16/11/2020" ; "AIR" ; "Patient refuses treatment offered resulting in harm"@en ; ; "Refusal of Treatment"@en . a , ; "Risksk associated with electrical goods and supply"@en , "Any electrical hazards in the environment"@en ; "Electrical safety"@en ; "16/11/2020" ; "AIR" ; "Any electrical hazards in the environment"@en , "Risksk associated with electrical goods and supply"@en ; ; "Electrical safety"@en . a , ; "Smoking within the Hospital buildings"@en ; "Breach of smoking policy"@en ; "16/11/2020" ; "AIR" ; "Smoking within the Hospital buildings"@en ; ; "Breach of smoking policy"@en . a , ; "Loss of aids in the clinical area"@en ; "Loss of Glasses or Dentures or Hearing aids"@en ; "16/11/2020" ; "AIR" ; "Loss of aids in the clinical area"@en ; ; "Loss of Glasses or Dentures or Hearing aids"@en . a , ; "Patient's ability to access an existing clinical service"@en ; "Access to services"@en ; "16/11/2020" ; "AIR" ; "Patient's ability to access an existing clinical service"@en ; ; , ; "Access to services"@en . a , ; "Threat of bomb"@en ; "Bomb Threat"@en ; "16/11/2020" ; "AIR" ; "Threat of bomb"@en ; ; "Bomb Threat"@en . a , ; "Extreme high temeperature syndrome during surgery"@en ; "Malignant Hyperpyrexia"@en ; "16/11/2020" ; "AIR" ; "Extreme high temeperature syndrome during surgery"@en ; ; "Malignant Hyperpyrexia"@en . a , ; "Accidental act"@en ; "Fire - Accidental"@en ; "16/11/2020" ; "AIR" ; "Accidental act"@en ; ; "Fire - Accidental"@en . a , ; "Readmitted within 72 hours of discharge from the hospital"@en ; "Unexpected readmission"@en ; "16/11/2020" ; "AIR" ; "Readmitted within 72 hours of discharge from the hospital"@en ; ; "Unexpected readmission"@en . a , ; "Injury that cannot be clearly explained or was not witnessed"@en ; "Unexplained Injury or Unknown cause"@en ; "16/11/2020" ; "AIR" ; "Injury that cannot be clearly explained or was not witnessed"@en ; ; "Unexplained Injury or Unknown cause"@en . a , ; "Defect with blood issued by IBTS requiring recall"@en ; "Blood Product Recall"@en ; "16/11/2020" ; "AIR" ; "Defect with blood issued by IBTS requiring recall"@en ; ; "Blood Product Recall"@en . a , ; "Notes missing from records"@en ; "Incomplete Records"@en ; "16/11/2020" ; "AIR" ; "Notes missing from records"@en ; ; "Incomplete Records"@en . a , ; "Performing a procedure or treatment without the full informed consent of the person"@en ; "Lack of valid consent"@en ; "16/11/2020" ; "AIR" ; "Performing a procedure or treatment without the full informed consent of the person"@en ; ; "Lack of valid consent"@en . a , ; "Failure of electronic systems to perform as expected"@en ; "IT System Failure"@en ; "16/11/2020" ; "AIR" ; "Failure of electronic systems to perform as expected"@en ; ; "IT System Failure"@en . a , ; "Communicating care to other healthcare professionals"@en ; "Handover"@en ; "16/11/2020" ; "AIR" ; "Communicating care to other healthcare professionals"@en ; ; , ; "Handover"@en . a , ; "Not kept at the correct temperature prior to transfusion"@en ; "Blood product incorrectly stored"@en ; "16/11/2020" ; "AIR" ; "Not kept at the correct temperature prior to transfusion"@en ; ; "Blood product incorrectly stored"@en . a , ; "Other…"@en ; "Other"@en ; "16/11/2020" ; "AIR" ; "Other…"@en ; ; "Other"@en . a , ; "Issues related to buildings, equipment, staff"@en ; "Hospital Infrastructure and Resources"@en ; "16/11/2020" ; "AIR" ; "Issues related to buildings, equipment, staff"@en ; ; , , , , ; "Hospital Infrastructure and Resources"@en . a , ; "Leaking of infusions out of veins and into local tissues"@en ; "IV infiltrates causing local inflammation"@en ; "16/11/2020" ; "AIR" ; "Leaking of infusions out of veins and into local tissues"@en ; ; "IV infiltrates causing local inflammation"@en . a , ; "Deliberate self injury"@en ; "Deliberate self-harm"@en ; "16/11/2020" ; "AIR" ; "Deliberate self injury"@en ; ; "Deliberate self-harm"@en . a , ; "Infestation with insects / vermin etc"@en ; "Pest control"@en ; "16/11/2020" ; "AIR" ; "Infestation with insects / vermin etc"@en ; ; "Pest control"@en . a , ; "Denouncing, anger or hostility"@en ; "Verbal Abuse"@en ; "16/11/2020" ; "AIR" ; "Denouncing, anger or hostility"@en ; ; "Verbal Abuse"@en . a , ; "Sample lost in transit or result loss"@en ; "Missing Test results or Sample"@en ; "16/11/2020" ; "AIR" ; "Sample lost in transit or result loss"@en ; ; "Missing Test results or Sample"@en . a , ; "Puncture injury from dirty instrument or reusable equipment that has not been sterilised"@en ; "Sharps injury or Splash exposure to Patient"@en ; "16/11/2020" ; "AIR" ; "Puncture injury from dirty instrument or reusable equipment that has not been sterilised"@en ; ; "Sharps injury or Splash exposure to Patient"@en . a , ; "Unexpected deterioration from current condition"@en ; "Unexpected Deterioration"@en ; "16/11/2020" ; "AIR" ; "Unexpected deterioration from current condition"@en ; ; "Unexpected Deterioration"@en . a , ; "Incidents occuring to staff in the workplace"@en ; "Occupational Health"@en ; "16/11/2020" ; "AIR" ; "Incidents occuring to staff in the workplace"@en ; ; , , , , ; "Occupational Health"@en . a , ; "Exposing a person to a known hospital Associated Infection"@en ; "Exposure to Hospital Associated Infection"@en ; "16/11/2020" ; "AIR" ; "Exposing a person to a known hospital Associated Infection"@en ; ; "Exposure to Hospital Associated Infection"@en . a , ; "Patient cared for in an inappropriate environment"@en ; "Environment unsuitable"@en ; "16/11/2020" ; "AIR" ; "Patient cared for in an inappropriate environment"@en ; ; "Environment unsuitable"@en . a , ; "When upright"@en ; "from standing position"@en ; "16/11/2020" ; "AIR" ; "When upright"@en ; ; "from standing position"@en . a , ; "Inadequate capacity within Theatre to meet demands"@en ; "Lack of Operating Theatre Capacity"@en ; "16/11/2020" ; "AIR" ; "Inadequate capacity within Theatre to meet demands"@en ; ; "Lack of Operating Theatre Capacity"@en . a , ; "Drop in heart rate or blood pressure"@en ; "Haemodynamic Event"@en ; "16/11/2020" ; "AIR" ; "Drop in heart rate or blood pressure"@en ; ; "Haemodynamic Event"@en . a , ; "From elevated space"@en ; "From Height"@en ; "16/11/2020" ; "AIR" ; "From elevated space"@en ; ; "From Height"@en . a , ; "Blood requested but unused out of fridge resulting in waste, or damaged in transit"@en ; "Blood wastage"@en ; "16/11/2020" ; "AIR" ; "Blood requested but unused out of fridge resulting in waste, or damaged in transit"@en ; ; "Blood wastage"@en . a , ; "Accidental exposure"@en ; "Unintentional Exposure"@en ; "16/11/2020" ; "AIR" ; "Accidental exposure"@en ; ; "Unintentional Exposure"@en . a , ; "Inadvertant xray of pregnant woman"@en ; "Inadvertent Exposure To Foetus"@en ; "16/11/2020" ; "AIR" ; "Inadvertant xray of pregnant woman"@en ; ; "Inadvertent Exposure To Foetus"@en . a , ; "Not gaining access to a service [ie appointment lost, not referred etc]"@en ; "Failure to Access Services"@en ; "16/11/2020" ; "AIR" ; "Not gaining access to a service [ie appointment lost, not referred etc]"@en ; ; "Failure to Access Services"@en . a , ; "Interruption to blood flow"@en ; "Cardiac Event"@en ; "16/11/2020" ; "AIR" ; "Interruption to blood flow"@en ; ; "Cardiac Event"@en . a , ; "Using the incorrect technique for the situation [moving a heavy patient without help or hoist]"@en ; "Incorrect technique used"@en ; "16/11/2020" ; "AIR" ; "Using the incorrect technique for the situation [moving a heavy patient without help or hoist]"@en ; ; "Incorrect technique used"@en . a , ; "Delay awaiting transfer of medical records"@en ; "Delay in receiving medical records"@en ; "16/11/2020" ; "AIR" ; "Delay awaiting transfer of medical records"@en ; ; "Delay in receiving medical records"@en . a , ; "Failure to wash hands correctly"@en ; "Poor hand hygiene"@en ; "16/11/2020" ; "AIR" ; "Failure to wash hands correctly"@en ; ; "Poor hand hygiene"@en . a , ; "Unexpected or unanticipated reaction to procedure"@en ; "Adverse reaction to procedure"@en ; "16/11/2020" ; "AIR" ; "Unexpected or unanticipated reaction to procedure"@en ; ; "Adverse reaction to procedure"@en . a , ; "Threat of"@en ; "Fire"@en ; "16/11/2020" ; "AIR" ; "Threat of"@en ; ; , , ; "Fire"@en . a , ; "Excessive xray and level of harm as yet unknown"@en ; "Inadvertent Deterministic Effects"@en ; "16/11/2020" ; "AIR" ; "Excessive xray and level of harm as yet unknown"@en ; ; "Inadvertent Deterministic Effects"@en . a , ; "Patient self-discharges against best medical advice"@en ; "Patient Self-Discharged or Against Medical Advice"@en ; "16/11/2020" ; "AIR" ; "Patient self-discharges against best medical advice"@en ; ; "Patient Self-Discharged or Against Medical Advice"@en . a , ; "Suicide in a patient under mental health services"@en ; "Suicide (under care of Psychiatry)"@en ; "16/11/2020" ; "AIR" ; "Suicide in a patient under mental health services"@en ; ; "Suicide (under care of Psychiatry)"@en . a , ; "Procedure carried out on incorrect patient"@en ; "Operation or procedure on wrong patient"@en ; "16/11/2020" ; "AIR" ; "Procedure carried out on incorrect patient"@en ; ; "Operation or procedure on wrong patient"@en . a , ; "Patient receives injury when donating blood for use. [nneedlestick injury / haematoma]"@en ; "Injury arising from donation"@en ; "16/11/2020" ; "AIR" ; "Patient receives injury when donating blood for use. [nneedlestick injury / haematoma]"@en ; ; "Injury arising from donation"@en . a , ; "Infection which occurs within 24 hours of surgery and can be linked directly to the procedure"@en ; "Post Operative Infection"@en ; "16/11/2020" ; "AIR" ; "Infection which occurs within 24 hours of surgery and can be linked directly to the procedure"@en ; ; "Post Operative Infection"@en . a , ; "Radiating procedure carried out without due reason or requirement to treat a medical condition"@en ; "Unnecessary Exposure"@en ; "16/11/2020" ; "AIR" ; "Radiating procedure carried out without due reason or requirement to treat a medical condition"@en ; ; "Unnecessary Exposure"@en . a , ; "Threatening behaviour"@en ; "Bullying or Intimidation"@en ; "16/11/2020" ; "AIR" ; "Threatening behaviour"@en ; ; "Bullying or Intimidation"@en . a , ; "From sharp instruments / blades"@en ; "Staff Sharps Injury (Not Needlestick)"@en ; "16/11/2020" ; "AIR" ; "From sharp instruments / blades"@en ; ; "Staff Sharps Injury (Not Needlestick)"@en . a , ; "Failure to comprehensively inform colleague of any issue or concern"@en ; "Failure in effective handover"@en ; "16/11/2020" ; "AIR" ; "Failure to comprehensively inform colleague of any issue or concern"@en ; ; "Failure in effective handover"@en . a , ; "Use of any form of restraint on a person [ physical, chemical]"@en ; "Physical Restraint use"@en ; "16/11/2020" ; "AIR" ; "Use of any form of restraint on a person [ physical, chemical]"@en ; ; "Physical Restraint use"@en . a , ; "Use of alcohol within the hospital"@en ; "Alcohol Misuse"@en ; "16/11/2020" ; "AIR" ; "Use of alcohol within the hospital"@en ; ; "Alcohol Misuse"@en . a , ; "From bed"@en ; "from bed or trolley or Cot"@en ; "16/11/2020" ; "AIR" ; "From bed"@en ; ; "from bed or trolley or Cot"@en . a , ; "Retaining fire doors open / blocking fire exits / using naked flames within buildings"@en ; "Breach of fire policy"@en ; "16/11/2020" ; "AIR" ; "Retaining fire doors open / blocking fire exits / using naked flames within buildings"@en ; ; "Breach of fire policy"@en . a , ; "Fail to treat or delay in treating a person"@en ; "Failure or Delay to provide Treatment"@en ; "16/11/2020" ; "AIR" ; "Fail to treat or delay in treating a person"@en ; ; "Failure or Delay to provide Treatment"@en . a , ; "Loss of data due to electronic failures"@en ; "IT Data Loss (Not Patient Related)"@en ; "16/11/2020" ; "AIR" ; "Loss of data due to electronic failures"@en ; ; "IT Data Loss (Not Patient Related)"@en . a , ; "Radiotherapy dose over or under what is needed for patient body weight / condition"@en ; "Radiotherapy Dose Variations"@en ; "16/11/2020" ; "AIR" ; "Radiotherapy dose over or under what is needed for patient body weight / condition"@en ; ; "Radiotherapy Dose Variations"@en . a , ; "Incident following insertion of an epidural cannula"@en ; "Post epidural event"@en ; "16/11/2020" ; "AIR" ; "Incident following insertion of an epidural cannula"@en ; ; "Post epidural event"@en . a , ; "Poor air quality [ ie caused by contamination or smoke, nearby building works etc]"@en ; "Exposure to Air pollutant"@en ; "16/11/2020" ; "AIR" ; "Poor air quality [ ie caused by contamination or smoke, nearby building works etc]"@en ; ; "Exposure to Air pollutant"@en . a , ; "Failure to use sterile or clean equipment or re-use of single-use devices"@en ; "Contaminated or unsterilized Equipment."@en ; "16/11/2020" ; "AIR" ; "Failure to use sterile or clean equipment or re-use of single-use devices"@en ; ; "Contaminated or unsterilized Equipment."@en . a , ; "Physical environemt poorly lit / heated / noisy etc"@en ; "Unsafe Environment (lighting, temperature, noise)"@en ; "16/11/2020" ; "AIR" ; "Physical environemt poorly lit / heated / noisy etc"@en ; ; "Unsafe Environment (lighting, temperature, noise)"@en . a , ; "Deliberate criminal act"@en ; "Fire - Non-Accidental or Arson"@en ; "16/11/2020" ; "AIR" ; "Deliberate criminal act"@en ; ; "Fire - Non-Accidental or Arson"@en . a , ; "FALLS WHILE UNDER DIRECT SUPERVISION"@en ; "moving under supervision"@en ; "16/11/2020" ; "AIR" ; "FALLS WHILE UNDER DIRECT SUPERVISION"@en ; ; "moving under supervision"@en . a , ; "Loss / theft of medical devices"@en ; "Medical Equipment (wheelchair etc.)"@en ; "16/11/2020" ; "AIR" ; "Loss / theft of medical devices"@en ; ; "Medical Equipment (wheelchair etc.)"@en . a , ; "On steps / stairs"@en ; "on stairs"@en ; "16/11/2020" ; "AIR" ; "On steps / stairs"@en ; ; "on stairs"@en . a , ; "Procedure failed to do what was planned"@en ; "Wrong operation or procedure"@en ; "16/11/2020" ; "AIR" ; "Procedure failed to do what was planned"@en ; ; "Wrong operation or procedure"@en . a , ; "Risk of harm due to sharp devices [ie needles, blades / scalpels etc]"@en ; "Sharps Safety"@en ; "16/11/2020" ; "AIR" ; "Risk of harm due to sharp devices [ie needles, blades / scalpels etc]"@en ; ; "Sharps Safety"@en . a , ; "Failure or delay in communicating test results to primary team or test requester"@en ; "Failure or Delay to report test results"@en ; "16/11/2020" ; "AIR" ; "Failure or delay in communicating test results to primary team or test requester"@en ; ; "Failure or Delay to report test results"@en . a , ; "Failure to complete all aspects of the discharge plan [ie referral to public health nurse]"@en ; "Incomplete Discharge"@en ; "16/11/2020" ; "AIR" ; "Failure to complete all aspects of the discharge plan [ie referral to public health nurse]"@en ; ; "Incomplete Discharge"@en . a , ; "Delayed transport to / from point of care"@en ; "Failure of transportation or collection system"@en ; "16/11/2020" ; "AIR" ; "Delayed transport to / from point of care"@en ; ; "Failure of transportation or collection system"@en . a , ; "Any issues related to blood and blood products"@en ; "Blood Transfusion"@en ; "16/11/2020" ; "AIR" ; "Any issues related to blood and blood products"@en ; ; , , , , , , , , , , , , ; "Blood Transfusion"@en . a , ; "Unjustified distinctions between people"@en ; "Discrimination"@en ; "16/11/2020" ; "AIR" ; "Unjustified distinctions between people"@en ; ; "Discrimination"@en . a , ; "Staff / visitor fall"@en ; "Non - Patient Fall or Near miss Fall"@en ; "16/11/2020" ; "AIR" ; "Staff / visitor fall"@en ; ; , , , , , , ; "Non - Patient Fall or Near miss Fall"@en . a , ; "Hit when using or near equipment or machinery"@en ; "Struck by Equipment"@en ; "16/11/2020" ; "AIR" ; "Hit when using or near equipment or machinery"@en ; ; "Struck by Equipment"@en . a , ; "Suicide in a patient not under mental health services"@en ; "Suicide (not under care of Psychiatry)"@en ; "16/11/2020" ; "AIR" ; "Suicide in a patient not under mental health services"@en ; ; "Suicide (not under care of Psychiatry)"@en . a , ; "Lack of availavility of device for an episode of care"@en ; "Unavailability of Medical device or Equipment"@en ; "16/11/2020" ; "AIR" ; "Lack of availavility of device for an episode of care"@en ; ; "Unavailability of Medical device or Equipment"@en . a , ; "The spread of infection in the Hospital setting"@en ; "Hospital Associated Infection"@en ; "16/11/2020" ; "AIR" ; "The spread of infection in the Hospital setting"@en ; ; "Hospital Associated Infection"@en . a , ; "Failure of phones / bleeps etc"@en ; "Telecommunications System failure"@en ; "16/11/2020" ; "AIR" ; "Failure of phones / bleeps etc"@en ; ; "Telecommunications System failure"@en . a , ; "ID band issues"@en ; "Absent or Incorrect ID band"@en ; "16/11/2020" ; "AIR" ; "ID band issues"@en ; ; "Absent or Incorrect ID band"@en . a , ; "Reaction to a prescribed infusion"@en ; "Adverse reaction to blood products"@en ; "16/11/2020" ; "AIR" ; "Reaction to a prescribed infusion"@en ; ; "Adverse reaction to blood products"@en . a , ; "The process to discharging patients home or to other care centres"@en ; "Discharge from Services"@en ; "16/11/2020" ; "AIR" ; "The process to discharging patients home or to other care centres"@en ; ; , , , ; "Discharge from Services"@en . a , ; "From patient hoist"@en ; "from Hoist"@en ; "16/11/2020" ; "AIR" ; "From patient hoist"@en ; ; "from Hoist"@en . a , ; "Inadequate bed availablility for patient demand"@en ; "Lack of General Beds Capacity"@en ; "16/11/2020" ; "AIR" ; "Inadequate bed availablility for patient demand"@en ; ; "Lack of General Beds Capacity"@en . a , ; "Duplicate notes applied to patient such that one version may not contain up to date information"@en ; "Duplicate records"@en ; "16/11/2020" ; "AIR" ; "Duplicate notes applied to patient such that one version may not contain up to date information"@en ; ; "Duplicate records"@en . a , ; "Hit by"@en ; "Struck or Collision"@en ; "16/11/2020" ; "AIR" ; "Hit by"@en ; ; , , ; "Struck or Collision"@en . a , ; "Wrong body part selected"@en ; "Incorrect Body Part Selected"@en ; "16/11/2020" ; "AIR" ; "Wrong body part selected"@en ; ; "Incorrect Body Part Selected"@en . a , ; "Failure to provide appropriate arrangements to allow patients privacy"@en ; "Lack of Privacy"@en ; "16/11/2020" ; "AIR" ; "Failure to provide appropriate arrangements to allow patients privacy"@en ; ; "Lack of Privacy"@en . a , ; "Ionising and non ionising exposure"@en ; "Radiation"@en ; "16/11/2020" ; "AIR" ; "Ionising and non ionising exposure"@en ; ; , , , , , , , , , , , , , ; "Radiation"@en . a , ; "This ontology defines categories and their related subcategories of possible adverse incidents which could happen in a hospital. This ontology has been taken from adverse incident reports created by our partner Hospital in Ireland and is used in the Open ARK platform."@en ; "Partner Hospital, Ireland" , "Maryam Basereh" ; "This ontology describes Categories and subcategories of possible adverse incidents in a hospital, defined by our Partner Hospital in Ireland and used in Open ARK platform."@en ; "Rob Brennan" ; "04/03/2021"^^ ; "This ontology defines categories and their related subcategories of possible adverse incidents which could happen in a hospital. This ontology has been taken from adverse incident reports created by our partner Hospital in Ireland and is used in the Open ARK platform."@en ; "Adverse Incident Reports" ; "Hospital Adverse Incidents Categories and Subcategories terminology"@en ; "HAdvIncCats" ; "https://openark.adaptcentre.ie/Ontologies/HAdvIncCats#" ; "0.1.2" ; "Hospital Adverse Incidents Categories and Subcategories terminology"@en . a , ; "Over exposure to ie UV light"@en ; "Radiation Safety (Non-Medical use)"@en ; "16/11/2020" ; "AIR" ; "Over exposure to ie UV light"@en ; ; "Radiation Safety (Non-Medical use)"@en . a , ; "Risksk associated with healthcare acquired infections"@en ; "Infection Prevention & Control"@en ; "16/11/2020" ; "AIR" ; "Risksk associated with healthcare acquired infections"@en ; ; , , , , , , , ; "Infection Prevention & Control"@en . a , ; "Incorrect result ascertained"@en ; "Misdiagnosis"@en ; "16/11/2020" ; "AIR" ; "Incorrect result ascertained"@en ; ; "Misdiagnosis"@en . a , ; "Any failure in adhering to security processes"@en ; "Breach of Security"@en ; "16/11/2020" ; "AIR" ; "Any failure in adhering to security processes"@en ; ; "Breach of Security"@en . a , ; "Related to safety & security"@en ; "Security"@en ; "16/11/2020" ; "AIR" ; "Related to safety & security"@en ; ; , , , , , ; "Security"@en . a , ; "Cannot be located"@en ; "Missing or Unaccounted Absence"@en ; "16/11/2020" ; "AIR" ; "Cannot be located"@en ; ; "Missing or Unaccounted Absence"@en . a , ; "Sample labelled incorrectly leading to result being applied to another patient"@en ; "Mislabelled Test Result or Sample"@en ; "16/11/2020" ; "AIR" ; "Sample labelled incorrectly leading to result being applied to another patient"@en ; ; "Mislabelled Test Result or Sample"@en . a , ; "Retained device following invasive procedure"@en ; "Missing or retained swab or needle or device"@en ; "16/11/2020" ; "AIR" ; "Retained device following invasive procedure"@en ; ; "Missing or retained swab or needle or device"@en . a , ; "Leaving bed area without informing staff"@en ; "Patient Absconded or Unaccounted Absence"@en ; "16/11/2020" ; "AIR" ; "Leaving bed area without informing staff"@en ; ; , , , ; "Patient Absconded or Unaccounted Absence"@en . a , ; "Difficulty performing procedure"@en ; "Failure or Difficulty performing procedure"@en ; "16/11/2020" ; "AIR" ; "Difficulty performing procedure"@en ; ; "Failure or Difficulty performing procedure"@en . a , ; "Difficult to manage behaviour"@en ; "Challenging Behaviour"@en ; "16/11/2020" ; "AIR" ; "Difficult to manage behaviour"@en ; ; "Challenging Behaviour"@en . a , ; "Treatment carried out was not deemed appropriate or necessary"@en ; "Treatment Inappropriate or Incorrect"@en ; "16/11/2020" ; "AIR" ; "Treatment carried out was not deemed appropriate or necessary"@en ; ; "Treatment Inappropriate or Incorrect"@en . a , ; "Patient who is ventilated following procedure but cannot access a bed in the Intensive Care Unit"@en ; "Patient ventilated in Recovery Room"@en ; "16/11/2020" ; "AIR" ; "Patient who is ventilated following procedure but cannot access a bed in the Intensive Care Unit"@en ; ; "Patient ventilated in Recovery Room"@en . a , ; "Breach of confidential data related to patient or person"@en ; "Breach of Patient confidentiality"@en ; "16/11/2020" ; "AIR" ; "Breach of confidential data related to patient or person"@en ; ; "Breach of Patient confidentiality"@en . a , ; "Theft in general"@en ; "Theft of Property"@en ; "16/11/2020" ; "AIR" ; "Theft in general"@en ; ; "Theft of Property"@en . a , ; "Struct by mechanical vehicle or bicycle"@en ; "Struck by Vehicle"@en ; "16/11/2020" ; "AIR" ; "Struct by mechanical vehicle or bicycle"@en ; ; "Struck by Vehicle"@en . a , ; "Receiving blood splash to face or mucosal areas such as eyes or mouth"@en ; "Blood - splash exposure"@en ; "16/11/2020" ; "AIR" ; "Receiving blood splash to face or mucosal areas such as eyes or mouth"@en ; ; "Blood - splash exposure"@en . a , ; "From ladder"@en ; "From Ladder"@en ; "16/11/2020" ; "AIR" ; "From ladder"@en ; ; "From Ladder"@en . a , ; "Incorrect clinical risk waste disposal"@en ; "Incorrect disposal of clinical waste"@en ; "16/11/2020" ; "AIR" ; "Incorrect clinical risk waste disposal"@en ; ; "Incorrect disposal of clinical waste"@en . a , ; "Failure to keep a clean eenvironment"@en ; "Poor environmental hygiene"@en ; "16/11/2020" ; "AIR" ; "Failure to keep a clean eenvironment"@en ; ; "Poor environmental hygiene"@en . a , ; "Device fails to perform as expected or as per manufacturers instructions"@en ; "Failure or Malfunction of Medical device or Equipment"@en ; "16/11/2020" ; "AIR" ; "Device fails to perform as expected or as per manufacturers instructions"@en ; ; "Failure or Malfunction of Medical device or Equipment"@en . a , ; "Wrong patient selected"@en ; "Incorrect Patient Selected"@en ; "16/11/2020" ; "AIR" ; "Wrong patient selected"@en ; ; "Incorrect Patient Selected"@en . a , ; "Information system failures"@en ; "IT or Alert Systems"@en ; "16/11/2020" ; "AIR" ; "Information system failures"@en ; ; , , , , , ; "IT or Alert Systems"@en . a , ; "Too high ionising radiation to a patient during a procedure [ie exposure levels set too high during an xray]"@en ; "Exposure greater than intended"@en ; "16/11/2020" ; "AIR" ; "Too high ionising radiation to a patient during a procedure [ie exposure levels set too high during an xray]"@en ; ; "Exposure greater than intended"@en . a , ; "Risks during building works"@en ; "Asbestos Safety"@en ; "16/11/2020" ; "AIR" ; "Risks during building works"@en ; ; "Asbestos Safety"@en . a , ; "Bite from patient"@en ; "Bite Injury"@en ; "16/11/2020" ; "AIR" ; "Bite from patient"@en ; ; "Bite Injury"@en . a , ; "Inadequate critical care beds that are adequately staffed"@en ; "Lack of Critical Care Bed Capacity"@en ; "16/11/2020" ; "AIR" ; "Inadequate critical care beds that are adequately staffed"@en ; ; "Lack of Critical Care Bed Capacity"@en . a , ; "Breach of infection control protocols"@en ; "Non-compliance with Infection Control Measures"@en ; "16/11/2020" ; "AIR" ; "Breach of infection control protocols"@en ; ; "Non-compliance with Infection Control Measures"@en . a , ; "From steps / stairs"@en ; "On Stairs"@en ; "16/11/2020" ; "AIR" ; "From steps / stairs"@en ; ; "On Stairs"@en . a , ; "Unexpected collapse"@en ; "Sudden Collapse"@en ; "16/11/2020" ; "AIR" ; "Unexpected collapse"@en ; ; "Sudden Collapse"@en . a , ; "Identification of an underlying condition or problem"@en ; "Diagnosis"@en ; "16/11/2020" ; "AIR" ; "Identification of an underlying condition or problem"@en ; ; , , , , , , ; "Diagnosis"@en . a , ; "Accidential injury"@en ; "Unintentional self-harm"@en ; "16/11/2020" ; "AIR" ; "Accidential injury"@en ; ; "Unintentional self-harm"@en . a , ; "Administered over an incorrect period of time [ie administered in 1 hr instead of 4 hrs]"@en ; "Blood infused at incorrect rate"@en ; "16/11/2020" ; "AIR" ; "Administered over an incorrect period of time [ie administered in 1 hr instead of 4 hrs]"@en ; ; "Blood infused at incorrect rate"@en . a , ; "Accessing IT ststems without authority or the clinical prerequisite to do so [ looking up results on someone not in your carea"@en ; "Unauthorised access to IT System"@en ; "16/11/2020" ; "AIR" ; "Accessing IT ststems without authority or the clinical prerequisite to do so [ looking up results on someone not in your carea"@en ; ; "Unauthorised access to IT System"@en . a , ; "Delay in reaching an identification or delay in reading sample results"@en ; "Delayed diagnosis"@en ; "16/11/2020" ; "AIR" ; "Delay in reaching an identification or delay in reading sample results"@en ; ; "Delayed diagnosis"@en . a , ; "Unwitnessed fall"@en ; "moving without supervision"@en ; "16/11/2020" ; "AIR" ; "Unwitnessed fall"@en ; ; "moving without supervision"@en . a , ; "Hazards related to the environment"@en ; "Environmental Hazards"@en ; "16/11/2020" ; "AIR" ; "Hazards related to the environment"@en ; ; , , , , , , , , , ; "Environmental Hazards"@en . a , ; "Incident with airway in patients with tracheostomies"@en ; "Tracheostomy Incident"@en ; "16/11/2020" ; "AIR" ; "Incident with airway in patients with tracheostomies"@en ; ; "Tracheostomy Incident"@en . a , ; "Threat to self injure oneself"@en ; "Expression to Self-harm"@en ; "16/11/2020" ; "AIR" ; "Threat to self injure oneself"@en ; ; "Expression to Self-harm"@en . a , ; "Inappropriate skill mix to maintain a safe environment"@en ; "Unsafe skill mix"@en ; "16/11/2020" ; "AIR" ; "Inappropriate skill mix to maintain a safe environment"@en ; ; "Unsafe skill mix"@en . a , ; "Injury received when moving equipment / loads"@en ; "Involving Equipment or Load"@en ; "16/11/2020" ; "AIR" ; "Injury received when moving equipment / loads"@en ; ; "Involving Equipment or Load"@en . a , ; "Risks associated with incorrect use / storage / disposal of"@en , "Misuse of any chemicals in the Hospital including incorrect use / storage / disposal of"@en ; "Chemical Safety"@en ; "16/11/2020" ; "AIR" ; "Risks associated with incorrect use / storage / disposal of"@en , "Misuse of any chemicals in the Hospital including incorrect use / storage / disposal of"@en ; ; "Chemical Safety"@en . a , ; "Risks to personal safety"@en ; "Interpersonal Safety"@en ; "16/11/2020" ; "AIR" ; "Risks to personal safety"@en ; ; , , , , , , , , , ; "Interpersonal Safety"@en . a , ; "Forced discharge of a patient who poses a threat to others in the Hospital"@en ; "Hospital Discharge due to breach of behaviour contract"@en ; "16/11/2020" ; "AIR" ; "Forced discharge of a patient who poses a threat to others in the Hospital"@en ; ; "Hospital Discharge due to breach of behaviour contract"@en . a , ; "Result incorrect due to mechanical or human factors"@en ; "Test Result Incorrect"@en ; "16/11/2020" ; "AIR" ; "Result incorrect due to mechanical or human factors"@en ; ; "Test Result Incorrect"@en . a , ; "Too many people in a confined area or space"@en ; "Overcrowding"@en ; "16/11/2020" ; "AIR" ; "Too many people in a confined area or space"@en ; ; "Overcrowding"@en . a , ; "Malfunction of the fire detection system"@en ; "False Fire Alarm Activation"@en ; "16/11/2020" ; "AIR" ; "Malfunction of the fire detection system"@en ; ; "False Fire Alarm Activation"@en .