The Anaesthetic Specialty Working Group of the Clinical Terms Project
has been creating clinical terms for inclusion in the Read clinical cl
assification. It is the intention to include terms to describe critica
l incidents. Many difficulties were encountered and these are discusse
d. The current definitions of a critical incident in the anaesthetic l
iterature are too wide to allow a circumscribed set of terms to be gen
erated. The interpretation of a critical incident is not only subjecti
ve but also requires a great deal of contextual information to describ
e it accurately. A method of critical incident reporting using the ter
ms that will be contained within the enhanced Read clinical classifica
tion is proposed. These terms may be useful in the construction of a n
ationwide critical incident register.