Figure 3 - uploaded by C. T. L. M. Nyst
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The number and division of recoveryfactors for the recovery side per report. To the main division Technical (T), Organizational (O), Human factor (H) and Patient factor (P) the abbreviations for 'planned' (P) and 'unplanned' (U) are added. X is unclassifiable.
Source publication
Health care is not as safe as it should be. Near-miss analysis may offer insight into the multiple causes of incidents and the factors that stopped progression towards adverse events. The applicability of the PRISMA (Prevention and Recovery Information System for Monitoring and Analysis) root-cause taxonomy of failure- and recovery factors on near...
Context in source publication
Context 1
... median for the number of root causes from the failure side was 4 (range 1-7), for the recovery side 2 (range 1-8). The number and division of root causes for the failure side (see figure 2) and the recovery side (see figure 3) are given. No two reports had the same pattern of root causes. ...
