Professional Documents
Culture Documents
(No Appeal)
TimelyFiling
$ 7,849,569
MedicalNecessity
$ 2,516,508
NoAuthorization
$ 1,295,032
PartialAuthorization $ 750,766
InvalidAuthforPatien $ 336,270
Surgical Retained F#RFOs
Sponges
Instrument
Needles
Miscellaneous
23
1
3
7
Pharmacy
Order Entry Errors
Ordernotreceived
51
WrongFrequencyofD
47
Duplicateorderentry
20
WrongDose
20
OmissionDrug
19
OrdernotDiscontinue
13
AdditionalInstructions
13
WrongDrug
11
WrongPatient
3
WrongRoute(IVvsIn
2
RoomNotRead
DoctorNotReady
PriorProcedureTooL
PriorCaseAddOn
PriorCaseTooEarly
CaseStartEarly
WrongTechnique
WrongTime
WrongDose
WrongRoute
Drugnotavailable
WrongForm
ExtraDose
UnauthoriedDrug
Omission
Medicatio
n Errors
Baseline
41
33
5
5
3
3
1
0
0
OrthopedicSurgery
GeneralSurgery
Neurosurgery
UrologicSurgery
Other
WrongBodyPartorSite
WrongPatientSurgery
WrongProcedure
Wrongpatient
Wrongprocedure
Wrongside
Wrongpart
Other
Lossofsensoryfuncti
Lossoforgan
13
10
4
Medicatio Medicatio
n Errors n Errors
6 months 18 months
25
5
13
16
1
2
1
0
5
4
0
0
3
2
2
1
2
0
SSN
Name
DOB
Test
Doctor
Other
Lab Order
Errors
226
71
58
44
39
16
Type of
Quantity
test
Chemistry
22063
Hematology
5532
Urine
2292
Serology
1043
Bacteriology
673
DrugUseVolumeandcosts
Drug
Cost/unit
UnitsUsed TotalCost($000)
A
180
361
65
B
250
160
40
C
950
347
330
D
90
389
35
E
75
267
20
F
560
89
50
G
1350
11
15
H
650
169
110
I
220
114
25
J
15
1333
20
K
56
1518
85
L
150
1367
205
Adverse Events
infection
Injury
Mycardial infarction
Deep vein thrombosis
Fall
Pressure Sores
Rash
Breathing Problems
Confusion
Dizziness
Drop in Blood Pressure
Nausea
Pain
Other responses
Other events
total
Medical Error
Pharmacy
Clinician
Nonmedical Error
Insurance or billing
Scheduling
Wrong Information
Prescription Delay
Test results delay
Behaviour/Communicati
Waiting time
Clinician disrespect
Staff disrespect
Felt rushed
Technician care
Other
Misunderstanding
Medical Care
Medication side effects
Clinician unhelpful
Scheduling
Ordering
Insurance Coverage
Missing documentation
Medication
management
New
Medications
0
0
0
1
1
0
0
1
1
1
3
2
9
37
0
56
Effects of Effects of
surgery
tests
Other
0
38
6
7
3
84
6
3
0
9
2
7
0
9
1
1
0
3
1
11
0
6
0
7
71
3
5
13
7
18
0
8
27
3
0
0
40
0
0
1
25
23
3
9
70
0
5
0
0
9
7
3
91
0
6
1
3
84
30
20
337
289
72
91
Allergy Related
Ambiguous Order
Delayed Treatment
Duplicate Additive (TPN)
Dupliate Order
Duplicate Therapy
Illegible
Incomplete (TPN and chemotherapy)
Incomplete other
Ion implance (TPN)
Overfill (TPN)
Rate/volume (TPN)
Unnecessary dose or medication
Unordered medication
unstable
Wrong calculation
Wrong concentration
Wrong Dose
Wrong dose of additive
Wrong drug
Wrong drug Additive
Wrong duration of therapy
Wrong dosage form
Wrong Frequency
Wrong Patient
Wrong rate ofinfusion
Wrong Route of adminsitration
Wrong Schedule
Wrong volume
Wrong weight
Prescribing
Errors
55
5
3
18
13
12
16
174
7
25
53
35
7
29
60
11
17
355
30
28
3
9
59
81
10
9
22
40
4
6