Identifying causal patterns and errors inadverse clinical incidents

Rebecca Mitchell; Ann Williamson; Brett Molesworth

doi:10.1201/b13826-60

Identifying causal patterns and errors inadverse clinical incidents

Rebecca Mitchell^*, Ann Williamson, Brett Molesworth

^*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review

5 Citations (Scopus)

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.

Original language	English
Title of host publication	Contemporary Ergonomics and Human Factors 2013
Editors	Martin Anderson
Place of Publication	Boca Raton, FL
Publisher	Taylor & Francis
Pages	277-284
Number of pages	8
ISBN (Electronic)	9780203744581
ISBN (Print)	9781138000421
DOIs	https://doi.org/10.1201/b13826-60
Publication status	Published - 2013
Externally published	Yes
Event	International Conference on Contemporary Ergonomics and Human Factors 2013 - Cambridge, United Kingdom Duration: 15 Apr 2013 → 18 Apr 2013

Other

Other	International Conference on Contemporary Ergonomics and Human Factors 2013
Country/Territory	United Kingdom
City	Cambridge
Period	15/04/13 → 18/04/13

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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

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Identifying causal patterns and errors inadverse clinical incidents

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