• Medication error e.g. Omission or overdose
• Complications of anaesthetic management
• Infection control breach
• Fetal complications unrelated to congenital abnormality, unanticipated and/or not managed in an appropriate or timely manner
• Complications of surgery
• Unexpected death of a mental health patient
• Delayed patient transfer / transport
• Documentation incomplete/inaccessible
• Misdiagnosis & subsequent management
• Falls
• In service acquired pressure ulcers
• Delay in recognising/responding to clinical deterioration.
• Wrong patient/ body part or side
• Delayed treatment, assessment and/or diagnosis
• Patient/Consumer absconding
• Equipment or therapeutic device problems
• Self harm
• Complications of resuscitation
• Hospital process issues
• Verbal/physical aggression by a mental health client
• Provide objective information of the known facts of the clinical incident
• Avoid statements that blame or identify individuals
• Avoid second guessing what might have happened or might have caused the clinical incident
• DO NOT include staff member names but DO include their designation