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%) |