Table 3.
Identified contributing factors.
| Adverse event |
Contributing factors |
||
|---|---|---|---|
| Alarm categories |
n (%) |
||
| Patient | 10/10 (100) | Case complexity | 8/10 (80) |
| Comorbidities | 6/10 (60) | ||
| Tasks | 9/10 (90) | Lack or misuse of protocols | 9/10 (90) |
| Test results | 3/10 (30) | ||
| Healthcare personnel | 3/10 (30) | Technical error | 2/10 (20) |
| Team | 6/10 (60) | Communication | 6/10 (60) |
| Patient file | 4/10 (40) | ||
| Supervision | 1/10 (10) | ||
| Work environment | 3/10 (30) | Patient transfer | 1/10 (10) |
| Equipement | 1/10 (10) | ||
| Workload | 1/10 (10) | ||
| Management/Organization | 3/10 (30) | Medication shortage | 3/10 (30) |