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Table 3 Types of unintended events

From: The nature and causes of unintended events reported at ten emergency departments

Unintended event type No. of unintended events (%)
(N = 522)
Collaboration with other departments 128 (24.5)
   e.g. long waiting time for laboratory test results  
   e.g. not al requested X-rays made at radiology department  
   e.g. difficulties finding a place at a nursing ward for the patient  
Materials and equipment 106 (20.3)
   e.g. ear thermometer gives inaccurate measurements  
   e.g. error in electronic record system (unable to look up medical history of patient)  
   e.g. materials lacking for treatment of patient  
Collaboration with resident physicians and consultants 89 (17.0)
   e.g. long waiting time for resident or consultant to come  
   e.g. insufficient supervision of resident physicians  
   e.g. not able to reach resident or consultant  
Diagnosis and treatment 75 (14.4)
   e.g. no plaster bandage applied after fracture reposition  
   e.g. eyelid glued when gluing nose bridge  
   e.g. elbow injury overlooked  
Incorrect data and substitutions 39 (7.5)
   e.g. incorrect date on X-ray  
   e.g. appointment form given to wrong patient  
   e.g. sticker with personal information of wrong patient pasted on laboratory request form  
Medication 38 (7.3)
   e.g. prescription of medicine in incorrect dose  
   e.g. medication expired  
   e.g. medication instruction accomplished twice  
Protocols and regulations 20 (3.8)
   e.g. inconsistency in protocols  
   e.g. protocol untraceable on the intranet  
   e.g. staff not familiar with procedure in new protocol  
Other 27 (5.2)
   e.g. inadequate transport of patient  
   e.g. dangerous ground sill at entrance of ED  
   e.g. patient leaves hospital without being discharged  
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