Table 5.
Types of contributing factors involved.
| Contributing factors | n | % |
|---|---|---|
| Medical device/system factor | ||
| Device or system usability | 16 | 18.39 |
| Device or system not working/slow/failed | 11 | 12.64 |
| Device or system suitability for purpose | 9 | 10.34 |
| Device or system unavailable/inaccessible | 2 | 2.30 |
| Device or system unfamiliar | 1 | 1.15 |
| Subtotal | 39 | 44.83 |
| Documentation factor | ||
| Missing/unavailable documentation | 7 | 8.05 |
| Unclear/ambiguous/duplicated documentation | 4 | 4.60 |
| Breach of privacy | 4 | 4.60 |
| Inadequate/incomplete documentation | 2 | 2.30 |
| Subtotal | 17 | 19.54 |
| Staff factor | ||
| Unknown/Not clear | 10 | 11.49 |
| Inattention/distraction/negligence | 3 | 3.45 |
| Knowledge/skills/awareness | 3 | 3.45 |
| Fail to carry out duty | 1 | 1.15 |
| Subtotal | 17 | 19.54 |
| Communication factor | ||
| Not conducted | 6 | 6.90 |
| Inaccurate information communicated | 3 | 3.45 |
| Incomplete | 1 | 1.15 |
| Subtotal | 10 | 11.49 |
| Policy/guideline related factor | ||
| Policy/guideline not followed | 2 | 2.30 |
| Subtotal | 2 | 2.30 |
| Patient factor | ||
| Inattention/distraction/negligence | 1 | 1.15 |
| Knowledge/skills/awareness | 1 | 1.15 |
| Subtotal | 2 | 2.30 |
| Total | 87 | |