Reporters, types and root causes of incidents entered in the web-based incident reporting system from 1 June 2001 until 31 March 2004
| n (%) | |
|---|---|
| The web-based incident reporting system was introduced on 1 July 2000 but was first used by all the hospital staff including nurses on 1 June 2001. | |
| Reporters of incidents | |
| Nurse or midwife | 5115 (84.7) |
| Physician | 616 (10.2) |
| Pharmacist | 137 (2.3) |
| Radiologist | 46 (0.8) |
| Lab technician | 40 (0.7) |
| Physical, occupational, or speech therapist | 35 (0.6) |
| Administrator | 22 (0.4) |
| Dietician | 5 (0.1) |
| Others | 25 (0.4) |
| Total | 6041 (100) |
| Types of incidents | |
| Medication (ordering, dispensing, administration) | 2815 (46.6) |
| Lines and tubes | 1147 (19.0) |
| Falls and slips | 826 (13.7) |
| Therapeutics and procedures | 197 (3.3) |
| Clinical laboratory tests | 105 (1.7) |
| Medical devices and equipment | 95 (1.6) |
| Meals | 88 (1.5) |
| Blood transfusion | 87 (1.4) |
| Radiology and endoscopy | 81 (1.3) |
| Surgery and anesthesia | 51 (0.8) |
| Patient or family complaints | 51 (0.8) |
| Patient or family behavior | 46 (0.8) |
| Exposure control | 31 (0.5) |
| Rehabilitation therapy | 23 (0.4) |
| Others | 398 (6.6) |
| Total | 6041 (100) |
| Root causes of incidents (multiple responses) | |
| Clinical process and system | 3446 (57.0) |
| Interservice communication | 1800 (29.8) |
| Supervision | 854 (15.1) |
| Patient education | 599 (9.9) |
| Medical device and equipment management system | 301 (5.0) |
| Health information management | 208 (3.4) |
| Patient management system | 167 (2.8) |
| Work load and shifts | 125 (2.1) |
| Hospital information system | 113 (1.9) |
| Work environment | 115 (1.9) |