QA87 category

Problem with clinical documentation without injury or harm

Definition

Documentation on wrong patient; incomplete documentation; incorrect documentation identified as inconsistent with other source, but without documented injury or harm to the patient.

Exclusions

Problem associated with clinical documentation (PL14.7)

Also indexed as

Problem with clinical documentation without injury or harmdocumentation on wrong patient without documented injury or harmincomplete documentation without documented injury or harmincorrect documentation identified as inconsistent with other source without documented injury or harm

Nearby in Circumstances associated with other aspects of care influencing the episode of care without injury or harm

QA80Non-administration of necessary drug without injury or harm
QA81Non-provision of necessary procedure without injury or harm
QA82Problem associated with physical transfer of patient without injury or harm
QA83Mismatched blood used in transfusion without injury or harm
QA84Other problem with transfusion without injury or harm
QA85Problem with physical restraints without injury or harm
QA86Problem with isolation protocol without injury or harm
QA88Problem with clinical software without injury or harm