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%)
|