Any operative complication This refers to any number of complications, including but not limited to PE, DVT, decubiti, MI renal failure etc. Fall with injury Patient fall A fall in a care setting represents a failure of care and may be the result of medications, equipment failure or failure of adequate staffing. A fall with no injury – no harm. A fall with injury is an AE. A fall which requires treatment due to injury – category F. Falls resulting in higher care (eg cerebral bleed) – Category G/H or above. A mechanical fall in the community is not a harm. Skin tear, abrasion, or other breakdown Any procedure/treatment complication Other Other than pressure ulcers, any form of trauma to the skin from a medical intervention, for example, skin tear secondary to removal of plasters such as Tegaderm. Stage I or II pressure ulcer Pressure Ulcer/injury Pressure injury presenting as intact skin with redness over a localised area or partial thickness loss of dermis without slough. Stage III or IV pressure ulcer Pressure Ulcer/injury Pressure injury presenting as full thickness tissue loss with or without visible bone, tendon or muscle exposure Other Hospital Acquired Infection Catheter associated urinary tract infection Healthcare associated infection / Positive blood culture As per GTT trigger definition (HQSC GTT guide) Central line associated blood stream infection Healthcare associated infection / Positive blood culture As per GTT trigger definition (HQSC GTT guide) Peripheral or central line non-blood stream infection Healthcare associated infection / Positive blood culture As per GTT trigger definition (HQSC GTT guide) Respiratory infection (non-ventilator associated) Healthcare associated infection / Positive blood culture As per GTT trigger definition (HQSC GTT guide) Surgical infection Healthcare associated infection / Positive blood culture As per GTT trigger definition (HQSC GTT guide) Ventilator associated pneumonia Healthcare associated infection / Pneumonia onset As per GTT trigger definition (HQSC GTT guide)
Other Events Related to Surgery or Other Procedure Abnormal bleeding following surgery or procedure Decrease of greater than 25% in Hb or Hct Transfusion/use of blood As per GTT trigger definition (HQSC GTT guide) Blood clots and other occlusions related to surgery or procedure Decrease of greater than 25% in Hb or Hct Radiological investigation for PE/DVT As per GTT trigger definition (HQSC GTT guide) Cardiac complications related to surgery or procedure Post-op troponin level greater than 1.5 ng/ml Any operative complication As per GTT trigger definition (HQSC GTT guide) Complications related to peripheral venous or arterial puncture Any operative complication As per GTT trigger definition (HQSC GTT guide) Hypotension/blood loss Transfusion/use of blood Decrease of greater than 25% in Hb or Hct As per GTT trigger definition (HQSC GTT guide) Post-op acute renal failure Acute dialysis Raised Urea / Creatinine (> 2 x baseline) Any operative complication As per GTT trigger definition (HQSC GTT guide) Post-op spinal tap/ lumbar puncture /epidural headache Any operative complication Headache associated with any procedure which can occur 1 – 5 days after Premature extubation causing respiratory failure in PACU Mechanical ventilation > 24 hours post-op As per GTT trigger definition (HQSC GTT guide) Prolonged post-op ileus Any operative complication Diagnosis of ileus with nil bowel movement for 3 days or more for non-abdominal surgery and 4 days or more for abdominal surgery, with associated symptoms. Radiation related injury Any procedure/treatment complication Any operative complication As per GTT trigger definition (HQSC GTT guide) Removal retained foreign body Return to theatre X-ray intra-op or in PACU As per GTT trigger definition (HQSC GTT guide)
Removal, injury or repair of organ Injury, repair or removal of organ As per GTT trigger definition (HQSC GTT guide) Respiratory complications related to surgery or procedure in PACU Mechanical ventilation > 24 hours post-op As per GTT trigger definition (HQSC GTT guide) Other Events Related to Intensive Care Catheter associated urinary tract infection Healthcare associated infection Positive blood culture As per GTT trigger definition (HQSC GTT guide) Central line associated blood stream infection Healthcare associated infection Positive blood culture As per GTT trigger definition (HQSC GTT guide) Peripheral or central line non-blood stream infection Healthcare associated infection Positive blood culture As per GTT trigger definition (HQSC GTT guide) Respiratory infection (non-ventilator associated) Healthcare associated infection Positive blood culture As per GTT trigger definition (HQSC GTT guide) Surgical Infection Healthcare associated infection Positive blood culture As per GTT trigger definition (HQSC GTT guide) Ventilator associated pneumonia Healthcare associated infection Pneumonia onset As per GTT trigger definition (HQSC GTT guide) Other