Table 4

 Examples of equipment, environment and procedure categories and their frequency

EquipmentProcedureWork environment
Equipment not at hand21Scrub nurse teaching circulating nurse9Anaesthetic alarm132
Failure of bladder irrigation drainage device9Circulating nurse teaching scrub nurse4Noise in anaesthetic room16
Equipment failure5Photo of laparoscopic screen3Noise caused by personnel6
Required equipment not in sterile set3Patient awake3Bleep—low battery signal4
Laparoscope fails3Radiographer not present2Music3
Laser failure3Reorientation of laparoscopic display2Scrub nurse closes anaesthetic room door1
Problems with laptop for data recording of operative information2Sub-team waiting for help from circulating nurse2Fluoroscope prevents flow of personnel1