Characteristics of the electronic reporting system (ERS) data
| Total events | Adverse clinical events | “E-Reporter”events | |
|---|---|---|---|
| *Preoperative, operative, and emergency department areas. | |||
| †See table 1 for detailed definitions of levels of impact. | |||
| LPN = licensed practical nurse. | |||
| Event reporter | |||
| Nurse | 1968 (69) | 597 (69) | 160 (73) |
| Administrative/manager | 368 (13) | 99 (11) | 5 (2) |
| Pharmacist | 97 (3) | 2 (0) | 0 (0) |
| LPN | 79 (3) | 14 (2) | 2 (1) |
| Physician | 68 (2) | 44 (5) | 19 (9) |
| Nurse practitioner | 24 (1) | 11 (1) | 1 (0) |
| Other | 239 (9) | 99 (12) | 32 (15) |
| Event location | |||
| Inpatient | 1984 (70) | 367 (42) | 75 (34) |
| Support services* | 587 (20) | 376 (43) | 109 (50) |
| Ambulatory | 258 (9) | 118 (14) | 34 (15) |
| Public areas | 14 (1) | 5 (1) | 1 (1) |
| Level of impact† | |||
| Unknown (0) | 236 (8) | 65 (7) | 2 (1) |
| Unsafe condition (1) | 161 (6) | 42 (5) | 12 (5) |
| Near miss (2) | 292 (10) | 68 (8) | 10 (5) |
| No harm, reached patient (3, 4) | 1531 (54) | 351 (41) | 57 (26) |
| Temporary harm (5, 6, 7) | 594 (21) | 319 (37) | 134 (61) |
| Permanent harm (8, 9, 10) | 29 (1) | 21 (2) | 4 (2) |
| Contributing factors | |||
| Human | 1272 (49) | 372 (46) | 52 (29) |
| Patient | 668 (25) | 205 (25) | 35 (20) |
| Don’t know | 277 (11) | 112 (14) | 38 (21) |
| System | 140 (5) | 30 (4) | 14 (8) |
| Environmental | 99 (4) | 19 (2) | 4 (2) |
| Equipment | 85 (3) | 39 (5) | 24 (13) |
| Other | 83 (3) | 36 (4) | 12 (7) |