Main categories and underlying causal attributions of incidents (n=140)
| Incidents mainly attributed to | Technology | ||
| Infusion therapy n (%) | Parenteral nutrition n (%) | Morphine pumps n (%) | |
| Product | 37 (46.3) | 6 (46.2) | 18 (38.3) |
| Technical defect in the device | 14 (17.5) | 5 (38.5) | 11 (23.4) |
| Correct device not present or device component(s) missing | 12 (15.0) | 0 (0) | 2 (4.3) |
| Manual unclear, incomplete, not available or unsuitable for the home situation | 1 (1.3) | 0 (0) | 0 (0) |
| Device unsuitable for the home situation, because … | 1 (1.3) | 0 (0) | 0 (0) |
| Incorrect medication preparation, administration or delivery | 5 (6.3) | 1 (7.7) | 5 (10.6) |
| Other | 4 (5.0) | 0 (0) | 0 (0) |
| Environment | 12 (15.0) | 2 (15.4) | 4 (8.5) |
| Climate in the room (eg, temperature, humidity, lighting, noise) | 0 (0) | 0 (0) | 1 (2.1) |
| Hygiene of the room | 2 (2.5) | 0 (0) | 0 (0) |
| Room too small | 0 (0) | 0 (0) | 0 (0) |
| Presence of children | 0 (0) | 0 (0) | 0 (0) |
| Presence of pets | 0 (0) | 2 (15.4) | 1 (2.1) |
| Power failure or interference with other electrical devices | 0 (0) | 0 (0) | 0 (0) |
| Incorrect use by patient and/or informal caregiver(s) | 8 (10.0) | 0 (0) | 1 (2.1) |
| Other | 2 (2.5) | 0 (0) | 1 (2.1) |
| Organisation of care | 20 (25.0) | 4 (30.8) | 15 (31.9) |
| Unclear tasks, responsibilities and/or authorisations | 3 (3.8) | 2 (15.4) | 3 (6.4) |
| Error or transfer error by a colleague or other healthcare professional | 14 (17.5) | 2 (15.4) | 11 (23.4) |
| Poor maintenance of the device, including cleaning | 2 (2.5) | 0 (0) | 0 (0) |
| Other | 1 (1.3) | 0 (0) | 1 (2.1) |
| Human factors: Yourself as a user | 11 (13.8) | 1 (7.7) | 10 (21.3) |
| Insufficient knowledge/skills regarding the use of the device | 0 (0) | 0 (0) | 1 (2.1) |
| Stress or fatigue | 0 (0) | 0 (0) | 0 (0) |
| Inattention or error | 7 (8.8) | 1 (7.7) | 5 (10.6) |
| Failure in situational awareness | 1 (1.3) | 0 (0) | 0 (0) |
| Incorrect calculation of medication | 1 (1.3) | 0 (0) | 4 (8.5) |
| Other | 2 (2.5) | 0 (0) | 0 (0) |
| Total | 80 (100) | 13 (100) | 47 (100) |