Table 1.

Clinical care processes impacted by downtime

Care Process	Subcategory	Definition	Frequency of Occurrence
Laboratory	Patient Identification	Improper continuity of patient identification from collection to testing	9
	Lab Ordering	Complications in order placement and receipt	2
	Specimen Labeling and Tracking	Specimen misplaced or mislabeled	11
	Results Reporting	Transmission of results from laboratory to clinician	8
	General	General descriptions of downtime issues with lab (eg, lab results slowed due to downtime)	7
Imaging	Image Ordering	Complications in order placement and receipt	1
	Image Transfer	Relaying image to necessary staff for interpretation	1
	Results Reporting	Transmission of imaging study results to clinician	2
Medication	Issue Entering Order	Placement of medication order disrupted	3
	Administration	Includes: delay, wrong dose, wrong medication, and medication tracking	8
Patient Registration		Issue caused patient registration to be disrupted or incomplete	4
Handoff/Transfer of Patient		Issue transferring or handing off patient at shift change	4
Documentation		Unable to document patient information	3
History Viewing		Unable to view past patient information	1
Delay of Procedure		Delay in medical procedure due to downtime	2
General Delay of Care (No specific process mentioned)		Incident reports describing overall difficulties with downtime operations without specific details (eg, downtime caused delays in patient care)	10