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Health-care incident or allegation type code NN[N]

Identifying and definitional attributes

Metadata item type:Help on this termValue Domain
METeOR identifier:Help on this term329586
Registration status:Help on this termHealth, Standard 07/12/2011
Definition:Help on this termA code set representing the area of possible error, negligence or problem giving rise to a medical indemnity claim.

Representational attributes

Representation class:Help on this termCode
Data type:Help on this termNumber
Format:Help on this termNN[N]
Maximum character length:Help on this term3
Permissible values:Help on this term
ValueMeaning
10Diagnosis
20Medication-related: type and dosage
21Medication-related: method of administration
22Medication-related: other or not further defined
30Anaesthetic
40Blood or blood product-related (includes blood transfusions)
50Procedure—failure to perform
51Procedure—wrong procedure
52Procedure—wrong body site
53Procedure—post-operative complications
54Procedure—failure of procedure
56Procedure—post-operative infection
57Procedure—intra-operative complications
59Procedure—other or not further defined
60Treatment—delayed
61Treatment—not provided
62Treatment—complications
63Treatment—failure of treatment
64Treatment—other or not further defined
70Consent (includes failure to warn)
80Infection control (includes instrument sterilisation)
90Device failure (includes problems with implanted devices)
100Other general duty of care issues
888Other
Supplementary values:Help on this term
999Not stated/inadequately described

Collection and usage attributes

Guide for use:Help on this term

CODE 10   Diagnosis

'Diagnosis' includes missed, delayed or incorrect diagnosis.

'Medication-related' is defined to cover the use of drugs and other medicines in the delivery of health services, including immunisations; excludes 'anaesthetic' and 'blood or blood product-related'.

CODE 20   Medication-related: type and dosage

'Medication-related: type and dosage' includes issues related to type of medication or its dosage.

CODE 21  Medication-related: method of administration

'Medication-related: method of administration' includes issues related to method of administration of medication.

CODE 22  Medication-related: other or not further defined

'Medication-related: other or not further defined' includes any medication-related issues other than type, dosage or method of administration. Examples include medication not provided and a patient's reaction to a correctly prescribed and administered medication.

CODE 30  Anaesthetic

'Anaesthetic' includes all issues related to epidural, anaesthetic substances, equipment, monitoring or resuscitation and patient awareness.

‘Procedure’ is defined as an invasive clinical intervention, where there is an incision and/or the body cavity is entered; procedures may be therapeutic or diagnostic. A vaginal delivery is also considered a procedure for the purposes of this metadata item.

CODE 51  Procedure—wrong procedure

'Procedure—wrong procedure' includes unnecessary procedures, for example, removal of a healthy appendix.

CODE 53  Procedure—post-operative complications

'Procedure—post-operative complications' includes incidents involving unintentionally retained objects following a procedure.

CODE 56  Procedure—post-operative infection

'Procedure—post-operative infection' includes wound infection due to a procedure; excludes hospital-acquired infections, for example, post-operative sepsis, needlestick injuries and claims involving failure to properly sterilise equipment.

CODE 57  Procedure—intra-operative complications

'Procedure—intra-operative complications' includes complications that arise during the course of a procedure, for example unintended perforations of adjacent organs.

CODE 59  Procedure—other or not further defined

'Procedure—other or not further defined' includes alleged negligent procedure (where no further information is available).

'Treatment' refers to health-care acts other than 'medication-related', 'anaesthetic', 'blood or blood product-related (includes blood transfusions)' or 'procedure'. Examples of treatment include applying a dressing to a wound, setting a broken bone, physiotherapy services and psychiatric counselling for mental health patients. 

CODE 61  Treatment—not provided

'Treatment—not provided' includes, for example, where an ambulance is called to attend but does not arrive, where a patient's condition deteriorates after the patient elects to leave or is turned away from a medical facility, or where a patient is not provided with the diet required by the patient's condition.

CODE 62  Treatment—complications

'Treatment—complications' includes, for example, developing ulcers under a plaster or dressing or a bone fractured during physiotherapy treatment, or where the failure to clean a wound sustained from an injury results in infection.

CODE 63  Treatment—failure of treatment

'Treatment—failure of treatment' includes incorrectly setting a broken bone.

CODE 64   Treatment—other or not further defined

'Treatment—other or not further defined' includes any incident or allegation of treatment as defined here, which does not fall under the treatment subcategories listed above.

CODE 70  Consent (includes failure to warn)

'Consent (includes failure to warn)' includes no valid consent and failure to warn, cessation or continuation of treatment without consent or against patient’s stated wishes, and disposing of a fetus without the consent of the parents.

CODE 80  Infection control (includes instrument sterilisation)

'Infection control (includes instrument sterilisation)' includes hospital-acquired infections, for example, post-operative sepsis, needlestick injuries and claims involving failure to properly sterilise equipment, but excluding post-operative infection.

CODE 90  Device failure (includes problems with implanted devices)

'Device failure (includes problems with implanted devices)' includes device failure during insertion and the insertion procedure is consequently aborted. Excludes problems due to the surgical implantation procedure.

CODE 100  Other general duty of care issues 

'Other general duty of care issues' includes falls, administrative errors, for example, placing a ‘nil by mouth’ sign on the bed of the wrong patient, and patient monitoring and follow-up issues.

CODE 888  Other

'Other' includes medico-legal reports, disciplinary enquiries and other legal issues, breach of confidentiality, record keeping or loss of documents, and harassment and discrimination.

CODE 999  Not stated/inadequately described

'Not stated/inadequately described' should be used when the information is not currently available.

Comments:Help on this termThe definition of 'Procedure' used in the Medical indemnity data set specification was agreed to by the MIDWG during the data development phase of the MINC. This definition is narrower than the definition of 'Procedure' used in the National Health Data Dictionary METeOR identifier 391349.

Source and reference attributes

Submitting organisation:Help on this termAustralian Institute of Health and Welfare
Steward:Help on this termAustralian Institute of Health and Welfare
Reference documents:Help on this term

National Centre for Classification in Health (NCCH) 2010. The Australian Classification of Health Interventions (ACHI) – Seventh Edition - Tabular list of interventions and Alphabetic index of interventions. Sydney: NCCH, Faculty of Health Sciences, The University of Sydney

Relational attributes

Data elements implementing this value domain:Help on this term

Medical indemnity claim—additional incident or allegation type, health-care code NN[N] Health, Standard 07/12/2011

Medical indemnity claim—primary incident or allegation type, health-care code NN[N] Health, Standard 07/12/2011

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