Table 5.

Themes of event annotations

Theme	# of tags	Illustrative Quotes
Patient/Family Interactions	22	“Agitated patient-threatened to murder provider” “Crazy patient. Restraints, police, drugs [sedation] necessary” “Mentally challenged patient yelling at me while his staff member tells me she doesn’t want to take him home”
Coworker Interactions	23	“Stressful phone call – arguing with consultant” “Same intern asked 4 times how Tylenol [acetaminophen] is dosed” “Social worker interrupted conversation, was rude to patients”
Performance of Complex Medical Procedures	9	“Difficult intubation” [Trouble placing a breathing tube] “Stressful central line [Large catheter in the major veins of the body] placement”
Critically Ill Patients	21	“STEMI [heart attack] coming…and septic [severe infection] patient” “Pediatric trauma, stroke activation, and STEMI [heart attack] activation simultaneously” “Patient screaming/vomiting/decompensating, concern for ICH [intracranial bleeding]”.
Physical discomfort	4	“Need to eat/use bathroom – too busy” “I feel palpitations after getting belly pain. [My] kid’s sick with belly aches. I’m thinking I have it too”
Systems issues	21	“[ the electronic medical record) is slow again” “Can’t get into [radiograph image digital review system] or [Microsoft] outlook, intern also can’t get into [radiograph image digital review system]” “I was infuriated with IT and let them know it…”.
Other Category/No description	22