| Level 1 |
|
| (I) Cognitive domain |
|
| Perception |
Situation assessment
and response
selection |
Memory |
Response execution |
| 7 |
21 |
8 |
11 |
47 |
| (II) Error mechanism |
|
| Expectancy/selective attention |
Loss of
attention |
Interference/
confusion |
False assumption/
expectation |
Cognitive bias |
| 7 |
9 |
9 |
10 |
4 |
39 |
|
|
|
|
|
|
| Level 2 |
|
| (I) Immediate internal causes |
|
| Alertness, fatigue |
Cursory/hurried
work approach |
Lack of
knowledge |
Inflexible application
of a procedure |
Stress, preoccupation |
|
| 0 |
6 |
3 |
2 |
0 |
11 |
| (II) Immediate external causes |
|
| Lack of information/
incorrect, unclear,
illegible information |
Cue similarity/proximity Pattern similarity |
Task interruption |
Out‐of‐date (drugs/vaccines), out‐of‐order (equipment) |
|
| 11 |
12 |
4 |
3 |
30 |
