Examples of equipment, environment and procedure categories and their frequency
| Equipment | Procedure | Work environment | |||
|---|---|---|---|---|---|
| Equipment not at hand | 21 | Scrub nurse teaching circulating nurse | 9 | Anaesthetic alarm | 132 |
| Failure of bladder irrigation drainage device | 9 | Circulating nurse teaching scrub nurse | 4 | Noise in anaesthetic room | 16 |
| Equipment failure | 5 | Photo of laparoscopic screen | 3 | Noise caused by personnel | 6 |
| Required equipment not in sterile set | 3 | Patient awake | 3 | Bleep—low battery signal | 4 |
| Laparoscope fails | 3 | Radiographer not present | 2 | Music | 3 |
| Laser failure | 3 | Reorientation of laparoscopic display | 2 | Scrub nurse closes anaesthetic room door | 1 |
| Problems with laptop for data recording of operative information | 2 | Sub-team waiting for help from circulating nurse | 2 | Fluoroscope prevents flow of personnel | 1 |