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Table 2 Types of adverse events

From: Prevalence and consequences of patient safety incidents in general practice in the Netherlands: a retrospective medical record review study

Examples of adverse event type Number (%)
Organisation  
• wrong form was sent with a PAP smear so it could not be evaluated 116 (55.0)
• referral letter was not ready when promised  
• 24 hour blood pressure measurement agreed upon but not performed  
Treatment  
• Patient uses three kinds of antihistaminics 31 (14.7)
• AB prescribed although patient is allergic  
• Too low doses of PPI had been prescribed  
Communication  
• Patient was not told that lab test should be performed on an empty stomach, so had to be repeated 26 (12.3)
• Patient was told to inhale salbutamol (a pulmonary β2 adrenergic receptor agonist) prior to the long function test  
• GP agreed to call the patient but forgot  
Diagnosis  
• Recurrent urine infection in a male, without further diagnostics  
• Patient exercise induces shoulder pain, which is considered musculoskeletal; no further research is done; five days later patient is admitted to hospital with a myocardial infarction 21 (10.0)
• Lab result interpreted incorrectly  
Prevention  
• No action on elevated cholesterol in a patient with multiple vascular risk factors 14 (6.6)
• A fasting glucose test was agreed upon, but not performed  
• Administration of NSAID without gastric protection in an elderly patient  
Triage  
• A patient calls with a high fever and pyelonephritis complaints. A home-visit is planned for the next day 3 (1.4)