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Avoidability score
1–3 (> 50% avoidable)
4–5 (< 50% avoidable)
6 (not avoidable)
TOTAL
38
151
461
Below optimal care
10
40
126
Delay in testing
8
32
99
Delay in Accessing care
11
29
20
Capacity Issues (community services)
2
3
3
Exposure to COVID-19
1
19
129
Delay in Response
1
15
16
COVID-19 on MCCD without diagnosis
1
2
47
Communication Barrier
1
2
Advised to Self-Isolate
1
1
2
Potential Misdiagnosis
1
5
Patient refusal to go to ED
1
Transfer to IMC no testing
5
3
Sudden Death
1
8
Remote consultation
1
Self-Discharge
1
Delay in COVID-19 Swab Results
1
Family Insistence on transfer to ED
1
Hospital Acquired Infection
1
Key: MCCD medical certificate of cause of death, ED emergency department, IMC intermediate care
