Faulty information verification | 130 (41.0) | Premature closure occurred in a patient who presented with generalised weakness. He was thought to have the diagnosis of coronary ischaemia and laboratory testing to check for hypopotassaemia was not ordered until much later |
Faulty information processing | 97 (30.7) | There was misinterpretation of diagnostic clinical data in a patient with known renal disease who presented with hypotension. The care team initially suspected overdiuresis, but the patient actually had sepsis |
Faulty data gathering | 61 (19.2) | Patient presented with a lesion on the back, which was missed by the initial care team. He was later discovered to have an extensive infection |
Faulty knowledge | 29 (9.1) | A patient presented with hip pain and was found to have negative hip X-rays. He was later discovered to have distal femur fracture (which sometimes can cause referred hip pain) on knee X-rays. |