Table 2 Systems failures and practitioner-based errors identified by the peer review process
Systems failures (n = 188) | N (%) | Practitioner-based errors (n = 96) | N (%) |
|---|---|---|---|
ED teamwork failures | 79 (42) | Cognitive errors | 65 (68) |
Hospital teamwork failures | 59 (31) | Major cognitive errors | 24 (25) |
Boarded patients | 26 (14) | Missed radiographic findings | 4 (4) |
ED work environment failures | 14 (7) | Policy deviations | 3 (3) |
Hospital work environment failures | 6 (3) | Procedural errors | 0 (0) |
Triage failures | 4 (2) | Â | Â |