Identifying causal patterns and errors inadverse clinical incidents

Rebecca Mitchell, Ann Williamson, Brett Molesworth

Research output: Chapter in Book/Report/Conference proceedingChapterResearchpeer-review

Abstract

This study identified precursor (PE) and associated contributing factors (CFs) of clinical incidents in health care. A random sample of 498 clinical incidents in Australiawere reviewed. Staff actionwas the most common type of PE identified. Correspondence analysis for all PEs that involved staff action by error type showed that rule-based errors were strongly related to performing medical or monitoring tasks and medication issues. Skill-based errors were strongly related to misdiagnoses. Factors relating to the organisation (66.9%) or the patient (53.2%) were the most commonly identified CFs for each incident. This study highlights the need for targeted approaches to tackling clinical incidents, based on an understanding of why they occur.

LanguageEnglish
Title of host publicationContemporary Ergonomics and Human Factors 2013
EditorsMartin Anderson
Place of PublicationBoca Raton, FL
PublisherTaylor & Francis
Pages277-284
Number of pages8
ISBN (Electronic)9780203744581
ISBN (Print)9781138000421
DOIs
Publication statusPublished - 2013
Externally publishedYes
EventInternational Conference on Contemporary Ergonomics and Human Factors 2013 - Cambridge, United Kingdom
Duration: 15 Apr 201318 Apr 2013

Other

OtherInternational Conference on Contemporary Ergonomics and Human Factors 2013
CountryUnited Kingdom
CityCambridge
Period15/04/1318/04/13

Fingerprint

incident
staff
Health care
correspondence analysis
random sample
medication
Monitoring
health care
monitoring

Cite this

Mitchell, R., Williamson, A., & Molesworth, B. (2013). Identifying causal patterns and errors inadverse clinical incidents. In M. Anderson (Ed.), Contemporary Ergonomics and Human Factors 2013 (pp. 277-284). Boca Raton, FL: Taylor & Francis. https://doi.org/10.1201/b13826-60
Mitchell, Rebecca ; Williamson, Ann ; Molesworth, Brett. / Identifying causal patterns and errors inadverse clinical incidents. Contemporary Ergonomics and Human Factors 2013. editor / Martin Anderson. Boca Raton, FL : Taylor & Francis, 2013. pp. 277-284
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Mitchell, R, Williamson, A & Molesworth, B 2013, Identifying causal patterns and errors inadverse clinical incidents. in M Anderson (ed.), Contemporary Ergonomics and Human Factors 2013. Taylor & Francis, Boca Raton, FL, pp. 277-284, International Conference on Contemporary Ergonomics and Human Factors 2013, Cambridge, United Kingdom, 15/04/13. https://doi.org/10.1201/b13826-60

Identifying causal patterns and errors inadverse clinical incidents. / Mitchell, Rebecca; Williamson, Ann; Molesworth, Brett.

Contemporary Ergonomics and Human Factors 2013. ed. / Martin Anderson. Boca Raton, FL : Taylor & Francis, 2013. p. 277-284.

Research output: Chapter in Book/Report/Conference proceedingChapterResearchpeer-review

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Mitchell R, Williamson A, Molesworth B. Identifying causal patterns and errors inadverse clinical incidents. In Anderson M, editor, Contemporary Ergonomics and Human Factors 2013. Boca Raton, FL: Taylor & Francis. 2013. p. 277-284 https://doi.org/10.1201/b13826-60