| Antecedents |
|
|
| Ambient noise(1-2,4,6,8,10-11,13-14,21-29,32-35) |
24 |
66.7 |
| Meet patient requests (how to provide objects: cups, pillows)(1-2,5,10,14-16,21,25,27,29,32-34,36-38) |
17 |
47.2 |
| Answering phone calls(3,6,8,13,16,21-22,27-29,32-36,38) |
15 |
41.7 |
| Lack of material(5,8-10,16,22,27-29,34,36,38-39) |
13 |
36.1 |
| Communication not related to the task to be performed(3,8-10,14,21-22,24-25,27,32-33,35) |
13 |
36.1 |
| Patient-related conversations(1,3,5-6,10,16,21-22,25,27-28,32,35) |
13 |
36.1 |
| Lack of patient information(5,8,10,15,21,32-33,35-36,38) |
10 |
27.8 |
| Lack of medication(10,16,21,23,32-33,36-37,39) |
10 |
27.8 |
| Lack of equipment(5,10,16,21-22,28-29,39) |
8 |
22.2 |
| Patient/family member provides or requests information(2,10-11,28,34-35,37-38) |
8 |
22.2 |
| Employees asking questions(10,15,21,28,34,38,40) |
7 |
19.4 |
| Equipment failure(1,8,15,21,24,35) |
6 |
16.7 |
| Conversation with patient/family(2,10,33-34) |
4 |
11.1 |
| Meet requests from medical professionals(5,10,36) |
3 |
8.3 |
| Wait for feedback (communication) from another professional(10,22) |
2 |
5.6 |
| Receipt/exchange/control of materials(31-32) |
2 |
5.6 |
| Ask maintenance service(32,34) |
2 |
5.6 |
| Procedural planning failures(21,31) |
2 |
5.6 |
| Communication related to the unit or institution(22) |
1 |
2.8 |
| Absence of professional anesthesiologist(8) |
1 |
2.8 |
| Wait for exam result(8) |
1 |
2.8 |
| Contribution to education (guide student)(32) |
1 |
2.8 |
| Cleaning staff(32) |
1 |
2.8 |
| Admission of new patients(32) |
1 |
2.8 |
| Delivery of material to the laboratory(41) |
1 |
2.8 |
| Shift change/lunch time(21) |
1 |
2.8 |
| Consequences |
|
|
| Medication errors(2,5-6,10,12,16,21-22,25-28,31-34,36-37) |
18 |
50.0 |
| Change of focus(1,3,5-6,11-12,21,25,29-30,32-33) |
13 |
36.1 |
| Clinical malpractices(5-6,10-11,30,33,36,39) |
8 |
22.2 |
| Delay in care/treatment(5,10-12,27-29) |
7 |
19.4 |
| Increased frequency and severity of medication administration errors(6,9-10,25-26,33,36) |
7 |
19.4 |
| Longer task completion time(1,9,15,25,27,32) |
6 |
16.7 |
| Cognitive overload(3,5,25,33,35-36) |
6 |
16.7 |
| Abandonment of the main task(1,4,21,27,38) |
5 |
13.9 |
| Procedural failures(3,10,33,36) |
4 |
11.1 |
| Adverse event(10,12,36) |
3 |
8.3 |
| Malpractices in the surgical procedure(8,24) |
2 |
5.6 |
| Poor quality service(40) |
1 |
2.8 |
| Delay in recognition and communication of patient changes(30) |
1 |
2.8 |
| Increased workload(6) |
1 |
2.8 |
| Increased stress at work(1) |
1 |
2.8 |
| Dispensing errors(4) |
1 |
2.8 |
| Mistakes in prescribing/requesting exams(32) |
1 |
2.8 |
| Crushing of medicine without need(34) |
1 |
2.8 |
| Failed to complete or start tasks(21) |
1 |
2.8 |
| Failure to document/record information(10) |
1 |
2.8 |
| Failure to check vital signs, blood glucose level, and neurological observation prior to medication administration or when appropriate(10) |
1 |
2.8 |
| Provide critical and sensitive patient-related information(35) |
1 |
2.8 |
| Loss of critical information(21) |
1 |
2.8 |
| Patient fall(8) |
1 |
2.8 |
| Incomplete security checks(24) |
1 |
2.8 |
Interruption in the work of nursing professionals: conceptual analysis
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Source: Adapted(