Table 2.
Hazard score | Subtasks | Failure mode | Failure description | Causes | Effects | Remedial strategy |
5 | Subtask 2.2: consult with clinical teams | Information gathering 4 | Information from other teams not available | Radiology is overwhelmed with tasks | Delay in patient diagnosis | Update radiology team to send urgent patient results first |
7 | Subtask 3.3: information overlooked in EHRa for past admissions | Establish explanation of diagnosis 3 | Information missed to form hypothesis because of health information technology | Information lost because of interruption | Wrong diagnosis | Actively engage different team members to focus on multiple data sources in EHR |
aEHR: electronic health record.