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Table 1 Error Classifications

From: Impact of drug and equipment preparation on pre-hospital emergency Anaesthesia (PHEA) procedural time, error rate and cognitive load

Classification Definitions Examples
Error Procedural error in the preparation or use of medications or equipment with the potential to result in harm. Medication:   Syringe containing anaesthesia medication labelled incorrectly or not labelled   Incorrect medication administered   Incorrect dose administered Equipment: Sharps injury   Procedure performed not in accordance with SOP (i.e. checklist not used, bougie not used)
Lapse A failure to execute an action due to lapse in memory and a routine behaviour being omitted. Medication preparation: Same needle used to draw up multiple medications   No syringe cap   Unsafe sharps management Equipment preparation: Cuff of tracheal tube not checked   Laryngoscope bulb operation not checked   No bougie