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Evaluation

Are you trying to identify factors that may have contributed to the occurrence of an adverse medical event?

Select an appropriate answer for each factor contributing to the problem

Failure to apply basic care

Failure to follow policy or protocol

Inattention, distraction or absent-minded

Failure to check something

Broke the rules

Inexperience

Inadequate training

Inadequate or incorrect knowledge

Communication problem

Poor teamwork

Inappropriate behavior or action

Failure to enforce a policy/protocol

Policy/protocol poor or deficient

Policy/protocol nonexistent

Poor management decision

Pressure to proceed

Lack of supervision

Insufficient staff for the job

Chance event

Lack of proper tools or equipment

Results

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