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