Table 2.

Distribution of non-routine events among 34 resuscitations with intubation

Variable	Median (interquartile range)
	All phases	Before patient arrival*	Pre-intubation decision+	Critical Period	Post-intubation
Non-routine events	19.5 (15.3–25.8)	0 (0–1)	3 (0–7.8)	6 (4.3–10)	8 (6–10)
Process events
Commission	4 (3–6)	0 (0–0)§	0 (0–1)	1 (0.3–2)	2 (1–3)
Omission	4 (3.3–7)	0 (0–0)	1 (0–1.8)	1 (1–2.8)	2 (1–3)
Selection	4.5 (3.3–6.8)	0 (0–0)	1 (0–2.8)	2 (1–3)	1 (0.3–2.8)
Non-process events	5 (4–8.8)	0 (0–1)	1 (0–3)	2 (1–3)	2 (1.3–3)
Airway management NRE	2 (1–3.8)	0ǂ	0 (0–0)	1 (0.3–2)	1 (0–1)
NREs by team role
Leadership	2 (2–3)	0 (0–0)	0 (0–0.8)	1 (0–2)	1 (0–2)
Anesthesiologist	1.5 (1–3)	0	0 (0–0)	1 (1–2)	0 (0–1)
Surgical surveyor	2.5 (1–4)	0 (0–0)	1 (0–2)	0.5 (0–2)	0.5 (0–1)
Bedside nurse	3.5 (2–6)	0	0 (0–1)	1 (0–2)	2 (1–2.8)
Respiratory therapist	2 (1–4)	0	0 (0–1)	0 (0–1)	1 (0.3–2)
X-ray technician	0 (0–0)	0	0	0	0 (0–0)
EMS technician	1 (0–1)	0 (0–0)	0 (0–1)	0 (0–0)	0
Other personnel	0 (0–0)	0	0	0 (0–0)	0 (0–0)
Entire team	0 (0–0)	0	0 (0–0)	0 (0–0)	0 (0–0)
Patient	1 (0–1)	0	0 (0–0)	0 (0–0)	0.5 (0–1)
Parent	0 (0–0)	0	0 (0–0)	0 (0–0)	0 (0–0)
Equipment/external	3.5 (2–5)	0 (0–1)	0 (0–1)	1 (0–2)	2 (1–2)

^*phase did not occur in one resuscitation

⁺phase did not occur in eight resuscitations

^ǂ0 indicates no observed events

^§0 (0–0) indicates events occurring with a low frequency with median and interquartile range of 0.