Human factors issues identified for near miss IRs (N=258)
| Human factor subtypes | N | Per cent* |
|---|---|---|
| Drug dose calculations | 42 | 16.3 |
| Clinical judgment | 38 | 14.7 |
| Communications/interpersonal skills | 38 | 14.7 |
| Handoff between services | 22 | 8.5 |
| Handoff within ED | 7 | 2.7 |
| Other/not classified | 9 | 3.5 |
| Compliance with established procedure | 162 | 62.8 |
| Fatigue, stress and distractions | 5 | 1.9 |
| Legibility | 0 | 0 |
| Other | 11 | 4.3 |
*Denominator is the total number of human factors identified.
ED, emergency department; IRs, incident reports.