Definition
Components
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Data Element ConceptMedical indemnity claim—primary incident or allegation type
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Object ClassMedical indemnity claim
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PropertyPrimary incident or allegation type
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Value DomainHealth-care incident or allegation type code NN[N]
Representation
This representation is based on the value domain for this data element, more information is available at " Health-care incident or allegation type code NN[N] ".Data Type | Number |
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Format | NN[N] |
Maximum character length | 3 |
Value | Meaning | Start Date | End Date | |
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Permissible Values | 51 | Procedure—wrong procedure | ||
52 | Procedure—wrong body site | |||
10 | Diagnosis | |||
20 | Medication-related: type and dosage | |||
21 | Medication-related: method of administration | |||
22 | Medication-related: other or not further defined | |||
30 | Anaesthetic | |||
40 | Blood or blood product-related (includes blood transfusions) | |||
50 | Procedure—failure to perform | |||
53 | Procedure—post-operative complications | |||
54 | Procedure—failure of procedure | |||
56 | Procedure—post-operative infection | |||
57 | Procedure—intra-operative complications | |||
59 | Procedure—other or not further defined | |||
60 | Treatment—delayed | |||
61 | Treatment—not provided | |||
62 | Treatment—complications | |||
63 | Treatment—failure of treatment | |||
64 | Treatment—other or not further defined | |||
70 | Consent (includes failure to warn) | |||
80 | Infection control (includes instrument sterilisation) | |||
90 | Device failure (includes problems with implanted devices) | |||
100 | Other general duty of care issues | |||
888 | Other | |||
Supplementary Values | 999 | Not stated/inadequately described |
Comments
Guide for use:
Only one code may be selected for this data element.
The code recorded as the primary incident or allegation type should be that which best reflects the main, dominant or primary cause giving rise to a medical indemnity claim.
Where a series of events contributed to the incident that gave rise to a medical indemnity claim, and it is difficult to identify the primary incident or allegation type the first event in the series should be coded.
Comments:
The coding categories for this data element have been developed with reference to a range of classifications currently in use, among which there is a high degree of commonality in terms of the categories identified. At the time of developing this data element a list of 46 categories of ‘clinical incident category alleged in claim’ was used in New South Wales to record this information. This list was also adopted for use in Tasmania. In Western Australia eight broad ‘incident type’ categories were used to collect this information on clinical incident notification forms. Two studies of the epidemiology of adverse events (one Australian and one from the United States of America) used similar, broad categories of the nature of adverse events to analyse data (Thomas et al. 2000; Wilson et al. 1995).
There is concordance between the Australian Prudential Regulation Authority (2006) National Claims and Policies Database claims data item 15 'Cause of loss' and the Medical Indemnity National Collection data item (AIHW 2011).
References
AIHW 2011. Public and private sector medical indemnity claims in Australia 2008–09. Safety and quality of health care series no. 10. Cat. no. HSE 112. Canberra: AIHW
APRA (Australian Prudential Regulation Authority) 2006. Data specifications National Claims and Policies Database document number 3.1. Canberra: APRA
Thomas EJ, Studdert DM, Burstin HR, Orav EJ, Zeena T, Williams EJ, et al. 2000. Incidence and types of adverse events and negligent care in Utah and Colorado. Medical Care 38: 261–71
Wilson RM, Runciman WB, Gibberd RW, Harrison BT, Newby L & Hamilton JD 1995. The quality in Australian health care study. Medical Journal of Australia 163: 458–471
This content Based on Australian Institute of Health and Welfare material. Attribution provided as required under the AIHW CC-BY licence.