Table 2.
Pre-course | Post-course | Follow-up | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
Do you consider the following events worth a report? | No | Cannot Decide | Yes | No | Cannot Decide | Yes | No | Cannot Decide | Yes | Significance |
1. You bring the wrong patient to the operating room, you notice your mistake in time and pick up the right person. | 16 (48%) |
11 (33%) |
6 (18%) |
12 (36%) |
5 (15%) |
16 (48%) |
9 (27%) |
12 (36%) |
12 (36%) |
p = 0.049 |
2. At the start of your shift you notice that Mr. B's heparin pump is adjusted too high. | 12 (36%) |
12 (36%) |
9 (27%) |
4 (12%) |
6 (18%) |
23 (70%) |
4 (12%) |
3 (9%) |
26 (79%) |
p < 0.001 |
3. You requested, urgently, the results of a laboratory test but you received them much too late. | 19 (58%) |
6 (18%) |
8 (24%) |
10 (30%) |
5 15%) |
18 (55%) |
3 (9%) |
13 (39%) |
17 (52%) |
p < 0.001 |
4. The treatment policy of Mrs. X changed, but so far there is no notification of this in her status. | 28 (85%) |
2 (6%) |
3 (9%) |
12 (36%) |
10 (30%) |
11 (33%) |
9 (27%) |
11 (33%) |
13 (39%) |
p < 0.001 |
5. You notice that the ampoules are not placed as usual, you were not informed about a change in policy. | 30 (91%) |
1 (3%) |
2 (6%) |
17 (52%) |
7 (21%) |
9 (27%) |
8 (24%) |
17 (52%) |
8 (24%) |
p < 0.001 |
6. On hindsight it became clear that the diagnosis of Mr. M was wrong, the patient did not experience any disadvantages. | 23 (70%) |
8 (24%) |
2 (6%) |
14 (42%) |
9 (27%) |
10 (30%) |
18 (55%) |
5 (15%) |
10 (30%) |
NS |