| Pre-course | Post-course | Follow-up |  | ||||||
---|---|---|---|---|---|---|---|---|---|---|
Do you consider the following events worth a report? | No | Cannot Decide | Yes | No | Cannot Decide | Yes | No | Cannot Decide | Yes | Significance |
1. You bring the wrong patient to the operating room, you notice your mistake in time and pick up the right person. | 16 (48%) | 11 (33%) | 6 (18%) | 12 (36%) | 5 (15%) | 16 (48%) | 9 (27%) | 12 (36%) | 12 (36%) | p = 0.049 |
2. At the start of your shift you notice that Mr. B's heparin pump is adjusted too high. | 12 (36%) | 12 (36%) | 9 (27%) | 4 (12%) | 6 (18%) | 23 (70%) | 4 (12%) | 3 (9%) | 26 (79%) | p < 0.001 |
3. You requested, urgently, the results of a laboratory test but you received them much too late. | 19 (58%) | 6 (18%) | 8 (24%) | 10 (30%) | 5 15%) | 18 (55%) | 3 (9%) | 13 (39%) | 17 (52%) | p < 0.001 |
4. The treatment policy of Mrs. X changed, but so far there is no notification of this in her status. | 28 (85%) | 2 (6%) | 3 (9%) | 12 (36%) | 10 (30%) | 11 (33%) | 9 (27%) | 11 (33%) | 13 (39%) | p < 0.001 |
5. You notice that the ampoules are not placed as usual, you were not informed about a change in policy. | 30 (91%) | 1 (3%) | 2 (6%) | 17 (52%) | 7 (21%) | 9 (27%) | 8 (24%) | 17 (52%) | 8 (24%) | p < 0.001 |
6. On hindsight it became clear that the diagnosis of Mr. M was wrong, the patient did not experience any disadvantages. | 23 (70%) | 8 (24%) | 2 (6%) | 14 (42%) | 9 (27%) | 10 (30%) | 18 (55%) | 5 (15%) | 10 (30%) | NS |