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Assessment of cases
An overall assessment of each case was made using the classification given in Table 7. In 206 cases it was felt that care was of a good standard. However, there were a significant number of cases where the standard of care fell below this level. In the cases where care was classified as less than good practice, the advisors were asked to quantify the impact of the deficiencies. Table 8 shows the potential impact of deficiencies in care on mortality. It was felt that sufficient information was available to assess the potential impact on mortality in 124 cases. Within the group it was felt that there were 41 cases where these deficiencies could have contributed to death.
| Table 7. Classification of overall assessment of each case |
| Advisors overall of assessment of care |
Number of cases |
(%) |
| Good practice |
206 |
(53) |
| Room for improvement – clinical |
100 |
(26) |
| Room for improvement – organisational |
30 |
(8) |
| Room for improvement - both clinical and organisational |
22 |
(6) |
| Less than satisfactory |
30 |
(8) |
| Sub-total |
388 |
|
| Insufficient data |
51 |
|
| Total |
439 |
|
| Table 8. Potential impact of standard of care being less than good on mortality |
| Did deficiencies contribute to death? |
Total |
(%) |
| Yes |
41 |
(34) |
| No |
83 |
(68) |
| Sub-total |
124 |
|
| Insufficient data |
58 |
|
| Total |
182 |
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