Skip to main content

Table 4 Causes of unintended events at the emergency department

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

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%)  
  1. * See Table 1 for description of categories.
  2. More than one causal factor per event possible.