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Table 4 CIR-cases categorized according to cause with predefined reasons (n/%)

From: Deployment of Critical Incident Reporting System (CIRS) in public Styrian hospitals: a five year perspective

Year 2013 2014 2015 2016 2017
Cause due to
 Individual related reason
  - Lack of knowledge 42 (11%) 68 (11%) 58 (10%) 95 (13%) 129 (14%)
  - Failure in process planning 40 (10%) 67 (11%) 49 (8%) 54 (7%) 72 (8%)
  - Fisregarding guidelines or standards 67 (17%) 120 (19%) 134 (22%) 152 (21%) 157 (17%)
  - Lack of attention 83 (21%) 116 (18%) 109 (18%) 144 (20%) 164 (17%)
 Organization, team factor, communication, documentation reasons
  - Poor communication in one occupational group 35 (12%) 51 (10%) 44 (10%) 42 (9%) 61 (10%)
  - Poor communication between occupational groups 54 (19%) 78 (16%) 79 (17%) 77 (17%) 85 (14%)
  - Deficient documentation 33 (11%) 52 (11%) 32 (7%) 49 (11%) 59 (9%)
  - Poor coordination 28 (10%) 43 (9%) 47 (10%) 42 (9%) 61 (10%)
 Medical device associated reasons
  - Handling of medical devices 51 (86%) 86 (83%) 101 (86%) 77 (38%) 83 (34%)
  - Insufficient introductory training 8 (14%) 17 (17%) 17 (14%) 13 (6%) 22 (9%)
  - Defective work equipment 30 (15%) 45 (18%)
  - Insufficient construction measures 48 (24%) 53 (22%)
 Patient related reason
  - Very ill patients 29 (58%) 46 (53%) 51 (50%) 30 (22%) 37 (22%)
  - Communication problems 10 (20%) 7 (8%) 8 (8%) 21 (15%) 15 (9%)
  - Acute change of illness 8 (16%) 22 (26%) 32 (31%) 31 (23%) 43 (26%)
  - Physical, verbal or aggressiveness and attacks of patients 0 (0%) 0 (0%) 0 (0%) 36 (26%) 34 (21%)