Table 4 Underlying causes of adverse events
Main category | Code | Frequency |
|---|---|---|
Technical | External | 0 |
| Â | Design | 2 |
| Â | Construction | 1 |
| Â | Materials | 1 |
Human | External | 5 |
| Â | Clinical decision | 29 |
| Â | Qualifications | 1 |
| Â | Coordination | 31 |
| Â | Verification | 18 |
| Â | Intervention | 8 |
| Â | Guarding the process | 84 |
Organisational | External | 16 |
| Â | Protocols | 46 |
| Â | Knowledge transfer | 1 |
| Â | Management priorities | 0 |
| Â | Culture | 24 |
Patient-related | Patient-related factor | 81 |
Other | Â | 0 |