Table 2 Distributions of the main (MD), secondary (SD) and total number of (TD) contributing factors
Dimensions | Main contributing factor n (% of MD) | Secondary contributing factor n (% of SD) | Total contributing factor n (% of TD) |
|---|---|---|---|
ENVIRONMENTAL FACTORS | 93 (22.8) | 37 (20.3) | 130 (22) |
PATIENT’S SOCIAL CONTEXT | 5 (1.2) | 5 (2.7) | 10 (1.7) |
BACKGROUND OF CARE | 38 (9.3) | 20 (11) | 58 (9.8) |
Unplanned consultation | 10 (2.4) | 0 (0) | 10 (1.7) |
Place of care | 6 (1.5) | 8 (4.4) | 14 (2.4) |
Workload management | 22 (5.4) | 12 (6.6) | 34 (5.7) |
DISRUPTIVE ELEMENT | 27 (6.6) | 7 (3.9) | 34 (5.7) |
HEALTH SYSTEM | 23 (5.7) | 5 (2.7) | 28 (4.7) |
Healthcare service | 20 (5) | 2 (1) | 22 (3.7) |
Financial or administrative issue | 3 (0.7) | 3 (1.7) | 6 (1) |
HUMAN FACTORS | 89 (21.8) | 86 (47.3) | 175 (29.7) |
LINKED TO THE PATIENT | 45 (11) | 31 (17) | 76 (12.9) |
LINKED TO THE PROVIDER | 35 (8.6) | 41 (22.5) | 76 (12.9) |
LINKED TO OTHER PROVIDERS | 4 (1) | 7 (3.9) | 11 (1.9) |
LINKED TO A THIRD PARTY | 5 (1.2) | 7 (3.9) | 12 (2) |
TECHNICAL FACTORS | 67 (16.4) | 9 (4.9) | 76 (12.9) |
EQUIPMENT | 21(5.2) | 2 (1) | 23 (3.9) |
Failure, malfunction, unavailability | 19 (4.7) | 1 (0.5) | 20 (3.4) |
Incorrect use | 2 (0.5) | 1 (0.5) | 3 (0.5) |
INFORMATION SYSTEM | 46 (11.3) | 7 (3.9) | 53 (8.9) |
Incorrect or missing data | 34 (8.3) | 4 (2.2) | 38 (6.4) |
Failure of the communication system | 12 (3) | 3 (1.7) | 15 (2.5) |
PROCESS OF CARE | 159 (39) | 50 (27.5) | 209 (35.4) |
COGNITIVE DIMENSION | 56 (13.8) | 9 (5) | 65 (11) |
Lack in initial training | 26 (6.4) | 3 (1.7) | 29 (4.9) |
Incorrect recall (after training) | 13 (3.2) | 2 (1) | 15 (2.5) |
Incorrect synthesis | 17 (4.2) | 4 (2.2) | 21 (3.6) |
CARE PROCEDURE | 34 (8.3) | 14 (7.7) | 48 (8.1) |
Inappropriate or unachieved procedure | 31 (7.6) | 13 (7.1) | 44 (7.5) |
Lack of protocol | 3 (0.7) | 1 (0.6) | 4 (0.6) |
CARE COORDINATION | 69 (16.9) | 27 (14.8) | 96 (16.3) |
Communication failure | 59 (14.5) | 22 (12.1) | 81 (13.7) |
Lack of (or incorrect) monitoring | 9 (2.2) | 5 (2.7) | 14 (2.4) |
Lack of response after feedback | 1 (0.2) | 0 (0) | 1 (0.2) |
TOTAL | 408 (100) | 182 (100) | 590 (100) |