CPiRLS Trigger List

The trigger list below is designed to help you participate in CPiRLS by providing examples
of incidents that you might experience and should report. Some incidents may be fairly
common while some may be extremely rare. The list is not exhaustive but provides the
categories/subcategories of incident that match those examples listed in the online
reporting form. These same categories/subcategories can be applied to near misses and
potential incidents on the understanding that you are referring to the avoidance of the
incident or an identified risk of a particular incident occurring.

ACCIDENTS/
EXAMINATION/ TREATMENT/
DOCUMENTATION EQUIPMENT/
ASSESSMENT MANAGEMENT
INFRASTRUCTURE

Patient record Incorrect Patient experienced Patient trip/fall

inadequate diagnosis post-treatment
distress/pain Patient unable to
Failure to take Investigation contact clinic in an
notes on a new undertaken to Wrong positioning of emergency
episode detriment of patient during treatment
patient Equipment
Failure to document Patient experienced malfunction
diagnosis / Significant significant post
prognosis pathology treatment effects e.g. Failure to use
missed neurological problem, equipment
Patient record disc prolapsed appropriately
misplaced Case history
inadequate, Patient experienced Health and Safety
Records confused, missed secondary negative effects during measures inadequate
treated wrong condition treatment e.g. fractured
patient rib or clavicle Failure to dispose of
Over-exposure of sharps and clinical
Treated before film Suggested drugs to waste appropriately
referral notes patient which had
arrived, missed Over-exposure of adverse effect Medical emergency
significant finding patient inadequately handled
Did not modify
Failure to gain Failure to request treatment plan to take Exposure to blood
consent x-ray report account of patient
preferences or health
Exposure to harmful
Breach of needs
X-ray substances
confidentiality misinterpretation
Slow to refer after
Exposure of patient did not respond
to treatment
pregnant patient

Did not discontinue

Failure in referral
treatment when
process
appropriate to do so

Patient discharged
without arranging future
care