| HRI |
Intervention |
Errors due to erroneous task planning and/or performance |
| HRV |
Verification |
Errors due to inaccurate or incomplete situation assessment |
| HSS |
Slip |
Errors in high skill performance |
| HRC |
Coordination |
Inadequate task coordination within the team |
| OP |
Protocols/procedures |
Inadequate protocol quality and/or availability at blood establishment (too complicated, inaccurate, unrealistic, lacking or poorly presented) |
| OK |
Transfer of knowledge |
Inappropriate implementation of measures ensuring transfer of knowledge or information to new or inexperienced personnel |
| TD |
Technical design |
Inappropriate design of material, equipment or software |
