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Table 1 List of the items in the structured reporting form.

From: Reporting of unintended events in an intensive care unit: comparison between staff and observer

ICU where the UE has occurred

Shift of UE detection: Morning

Reporter's qualification: Nurse, Physician

Afternoon

Date of detection

Night

Type of UE: Problems with airway/mechanical ventilation

Type of UE: Problems with catheter/drain/probes

   Accidental extubation

   Unplanned removal

   Unplanned reintubation

   Dislodgement

   Tracheal tube obstruction

   Inappropriate opening

   Tracheal cuff leakage

   Inappropriate disconnection

   Incorrect ventilator setting

 

   Ventilator auto cycling

Type of UE: Problems with medication

   Turn off of heated humidifier

   Prescription error

   Turn off of ventilator alarms

   Transcription error

 

   Wrong dose

Type of UE: patient management:

   Wrong route of administration

   Delayed treatment

 

   Incorrect patient positioning

Type of UE: unit management

   Documentation lacking

   Organization

   Documentation reported incorrectly or inaccurately

   Communication

 

   Equipment failure

Turn off of oxygen saturationalarm

 
 

Other problem:................................

Severity of the unintended event

 

   Intercepted by the staff

 

   Self resolving

 

   Minor

 

   Serious