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Table 3 A multidimensional analysis of errors categorised according to both the amplified version of GEMS and the inductively-developed key subject areas

From: Exploring patterns of error in acute care using framework analysis

Key subject area Amplified version of Reason’s generic error modelling system (GEMS) Intention not established TOTALS
Skill-based slips/lapses Rule-based mistakes Knowledge-based mistakes Violations Compound errors Submission errors
Hospital systems 1 24 13 3 0 0 11 52
Infection control 1 0 0 0 0 0 18 19
Prioritisation 1 10 0 3 0 2 6 22
Procedural skills 18 0 12 0 1 0 3 34
Situation awareness 20 9 8 1 19 1 11 69
Treatment 2 12 6 0 0 1 2 23
Communication 11 0 1 1 1 1 2 17
Ethical principles in practice 0 6 0 1 0 0 0 7
TOTALS 54 61 40 9 21 5 53 243
  1. The bold numbers indicate patterns within the dataset.