Table 2.
Category | Before investigation (n) | After investigation (n) |
---|---|---|
Types of issues (HIT-CS) | ||
Use-related issues | ||
Wrong entry/retrieval | 3 | 5 |
Did not enter/retrieve | 2 | 1 |
Machine related issues | ||
Wrong output | 5 | 3 |
Partial output | 2 | 0 |
No output | 11 | 1 |
Software issues | ||
Software not available or not licensed | 2 | 0 |
Software not accessible | 2 | 1 |
Software functionality | 3 | 6 |
System configuration | 4 | 11 |
Interface with other software systems or components | 5 | 7 |
Data storage and backup | 1 | 1 |
Record migration | 1 | 1 |
Total | 41 | 37 |
Contributing (human vs technical) factors | ||
Technical factor | 28 | 24 |
Human factor | 8 | 10 |
Total | 36 | 34 |
Consequences (HIT-CS) | ||
Harm to a patient or an adverse event | 12 | 13 |
An arrested or interrupted sequence or a near miss | 9 | 8 |
Incidents with a noticeable consequence but no patient harm | 6 | 4 |
Incidents with no noticeable consequence | 6 | 5 |
A hazardous event or circumstances | 1 | 1 |
Total | 34 | 31 |