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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.