Characteristics of the analysis reports and of the corrective actions
| Analysis reports | N=12 | % |
|---|---|---|
| S6: Written reports | 10 | 83.3 |
| Oral reports | 2 | 16.7 |
| S1: Description of the data collection method | 10 | 83.3 |
| Individual interviews | 10 | 100.0 |
| Collective debriefing | 10 | 100.0 |
| Files | 6 | 60.0 |
| Area visits | 4 | 40.0 |
| S2: Description of the chronology of facts | 9 | 75.0 |
| S2: Description of existing recommendations | 3 | 25.0 |
| S2: Error identification | 7 | 58.3 |
| S3 and S4: Identification of contributing or latent factors | 11 | 91.7 |
| Management | 2 | 18.2 |
| Organisation and procedures | 11 | 100.0 |
| Working environment | 7 | 63.6 |
| Teamwork | 7 | 63.6 |
| Technical processes | 6 | 54.5 |
| Professionals | 4 | 36.4 |
| Patients | 3 | 27.3 |
| Corrective actions | ||
| S5: Proposed actions | N=23 | |
| Staff training | 6 | 26.1 |
| Writing procedures | 8 | 34.8 |
| Organisational changes | 5 | 21.7 |
| Increasing resource materials | 4 | 17.4 |
| Decided actions | N=14 | |
| With a professional in charge | 8 | 57.1 |
| From the ED | 7 | 87.5 |
| From another department | 1 | 12.5 |
| With a defined deadline | 6 | 42.9 |
ED, emergency department.