Table 3.

Most commonly reported operational failures.

Operational failure	Category	Count
Not enough PCAs/staff	Staffing	44
Redundant documentation	Communication	36
Illegible written orders	Communication	24
No communication about new admissions	Communication	19
Not enough vital sign machines	Equipment/supplies	16
Not enough IV pumps	Equipment/supplies	14
Not enough linens	Equipment/supplies	13
Dirty utility room	Physical unit/layout	13
Medication dispensation machine broken	Equipment/supplies	10
Scales too heavy	Equipment/supplies	9