Table 4 |
|||||
|
Causes of unintended events at the emergency department |
|||||
|
Main category |
Subcategory* |
Code |
Frequency (%)† |
Percentage within each main category (column %)† |
|
|
|
|||||
|
Technical (N = 88) |
External |
T-ex |
19 (2%) |
22% |
|
|
Design |
TD |
26 (3%) |
30% |
||
|
Construction |
TC |
13 (2%) |
15% |
||
|
Materials |
TM |
33 (4%) |
38% |
||
|
Human (N = 375) |
External |
H-ex |
260 (31%) |
69% |
|
|
Knowledge based |
Knowledge |
HKK |
30 (4%) |
8% |
|
|
Rule based |
Qualifications |
HRQ |
16 (2%) |
4% |
|
|
Coordination |
HRC |
34 (4%) |
9% |
||
|
Verification |
HRV |
52 (6%) |
14% |
||
|
Intervention |
HRI |
82 (10%) |
22% |
||
|
Monitoring |
HRM |
28 (3%) |
7% |
||
|
Skill based |
Slips |
HSS |
5 (1%) |
1% |
|
|
Tripping |
HST |
3 (0%) |
1% |
||
|
Organisational (N = 186) |
External |
O-ex |
108 (13%) |
58% |
|
|
Protocols |
OP |
35 (4%) |
19% |
||
|
Transfer of knowledge |
OK |
17 (2%) |
9% |
||
|
Management priorities |
OM |
32 (4%) |
17% |
||
|
Culture |
OC |
19 (2%) |
10% |
||
|
Patient related (N = 20) |
Patient related |
PRF |
20 (2%) |
100% |
|
|
Other (N = 13) |
Other |
X |
13 (2%) |
100% |
|
|
Total |
845 (100%) |
||||
|
|
|||||
|
* See Table 1 for description of categories. † More than one causal factor per event possible. |
|||||
|
Smits et al. BMC Emergency Medicine 2009 9:16 doi:10.1186/1471-227X-9-16 |
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