AHRQ PSIs Leape Typology of Errors
1. Accidental puncture or laceration Domain Error
2. Complications of anesthesia
3. Death in low-mortality Diagnostic Related
Groupings (DRGs)
4. Decubitus ulcer
5. Failure to rescue
6. Foreign body left during procedure
7. Iatrogenic pneumothorax
Diagnostic
1. Error or delay in diagnosis
2. Failure to employ indicated
tests
3. Use of outmoded tests or
therapy
4. Failure to act on the results of
monitoring or testing
8. Selected infections due to medical care
9. Postoperative hemorrhage or hematoma
10. Postoperative physiologic and metabolic
derangement
11. Postoperative pulmonary embolism or deep
vein thrombosis
12. Postoperative respiratory failure
13. Postoperative sepsis
14. Postoperative wound dehiscence
15. Transfusion reaction
Treatment
5. Technical error in the
performance of a procedure
6. Error in administering
treatment
7. Error in dose or method of
use of a drug
8. Avoidable delay in treatment
or in response to an
abnormal test
9. Inappropriate care
16. Birth trauma and obstetric trauma (3 types
related to delivery methods)
Preventive
10. Failure to provide indicated
prophylactic treatment
11. Inadequate treatment
monitoring or followup
Other
12. Failure in communication
13. Equipment failure
14. Other systems failure