Table 4.
Impact | Number of failures | Percent of failures |
---|---|---|
None | 19 | 11.3 |
Delay | 15 | 8.9 |
Inefficiency | 133 | 79.2 |
Patient inconvenience | 10 | 6.0 |
Potential/actual adverse event | 2 | 1.2 |
Procedural error | 14 | 8.3 |
Resource waste | 31 | 18.5 |
Team tension | 16 | 9.5 |
Work-around | 23 | 13.7 |
Note: Impact types are not mutually exclusive.