Table 2.
Classification of and Team Recovery from Errors
| Error type | No. of Events (% of total) |
Median per resuscitation (IQR) |
Error acknowledged (% of class) |
Compensation (% of class) |
Any Response (% of class) |
|---|---|---|---|---|---|
| Overall | 337 | 8 (6–11) | 121 (35.9) | 146 (43.3) | 164 (48.7) |
| Omission | 135 (40.1) | 3 (1–5) | 55 (40.7) | 68 (50.4) | 75 (55.6) |
| Partial | 75 (22.3) | 2 (1–3) | 33 (44.0) | 45 (60.0) | 47 (62.7) |
| Total | 60 (17.8) | 1 (0–2) | 22 (36.7) | 23 (38.3) | 28 (46.7) |
| Commission | 106 (31.5) | 2 (0–5) | 42 (39.6) | 50 (47.2) | 54 (50.9) |
| Irrelevant | 5 (1.5) | 0 (0–0) | 0 (0.0) | 0 (0.0) | 0 (0.0) |
| Prohibited | 78 (23.2) | 2 (0–3) | 29 (37.2) | 37 (47.4) | 40 (51.3) |
| Redundant | 21 (6.2) | 0 (0–1) | 13 (61.9) | 12 (57.1) | 13 (61.9) |
| Unmotivated | 2 (0.6) | 0 (0–0) | 0 (0.0) | 1 (50.0) | 1 (50.0) |
| Selection | 96 (28.3) | 2 (1–4) | 24 (25.0) | 28 (29.2) | 35 (36.5) |
| Contraindicated | 2 (0.6) | 0 (0–0) | 1 (50.0) | 0 (0.0) | 1 (50.0) |
| Dependency | 1 (0.3) | 0 (0–0) | 0 (0.0) | 0 (0.0) | 0 (0.0) |
| Precedence | 11 (3.3) | 0 (0–0) | 8 (72.7) | 9 (81.8) | 9 (81.8) |
| Preconditions | 41 (12.2) | 1 (0–2) | 7 (17.1) | 12 (31.7) | 15 (36.6) |
| Preference | 15 (4.5) | 0 (0–1) | 1 (6.7) | 1 (6.7) | 1 (6.7) |
| Priority | 23 (6.8) | 0 (0–1) | 5 (21.7) | 5 (21.7) | 7 (30.4) |
| Urgency | 3 (0.9) | 0 (0–0) | 2 (66.7) | 1 (33.3) | 2 (66.7) |
| High-risk | 166 (49.3) | 3 (2–5) | 60 (36.1) | 82 (49.4) | 91 (54.8) |
| Low-risk | 171 (50.7) | 4 (2–6) | 61 (35.7) | 64 (37.4) | 73 (42.7) |
IQR= interquartile range