Table 3 Key words associated with SAC1 incidents [50], along with excerpts from reports that were misidentified
Key words | Misidentified by machine classifiers (false positives) | Misidentified by humans (false negatives) |
|---|---|---|
death | problem with death certificate, police notified | patient died in operation room, ambulance or ICU, or died when transferring |
suicide | suicide or suspected suicide outside of hospital | inpatient suicide |
high risk | high fall risk mentioned e.g. patient suffered extreme pain or hit their head, neurological observation, vital signs checked, CT scan of brain | |
high risk medication, drug overdose or wrong medicine | ||
police notified | absconded patients with mental health problems did not return from planned leave, police intervention | |
incorrect patient | duplicate CT scans due to problem with patient identification | incorrect site for patient procedure |
infection | patient had infection in hospital | more than two staff infected by patients |
blood transfusion reaction | shortly after commencing the flebogamma infusion patient reacted to the medication with shortness of breath, chest tightness, vomiting and diarrhea | |
aggression | patient with mental health problems or Hepatitis C infection assaulted staff |