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Table 4 Summary of SHERPA for BPDT

From: Human reliability analysis of bronchoscope-assisted percutaneous dilatational tracheostomy: implications for simulation-based education

  

1. Safety and documentation checks

2. Preparation for procedure

3. BPDT

4. Follow-up care

Total

 

No. of subgoals

44

221

103

27

395

Type of behaviour

Action

12

153

77

14

256 (64.8%)

Checking

15

42

8

10

75 (19%)

Selection

6

9

3

0

18 (4.6%)

Retrieval

8

14

0

0

22 (5.6%)

Information communication

3

3

15

3

24 (6%)

Probability of error

Error impossible

0

5

0

0

5 (1.3%)

Low

21

56

20

6

103 (26.1%)

Medium

7

50

36

9

102 (25.8%)

High

10

75

38

10

133 (33.7%)

Very high

6

35

9

2

52 (13.1%)

Criticality of error

Error impossible

0

5

0

0

5 (1.3%)

Low

15

101

23

14

153 (38.7%)

Medium

1

35

31

4

71 (18%)

High

28

80

49

9

166 (42%)

Risk

Error impossible

0

5

0

0

5 (1.3%)

Low

6

47

15

4

72 (18.2%)

Medium

32

130

62

22

246 (62.3%)

High

6

39

26

1

72 (18.2%)

Remediation strategy level of interventiona

Individual

44

186

89

27

346 (34.7%)

Equipment

42

79

12

23

156 (15.7%)

Environmental

42

80

7

25

154 (15.5%)

Organisational

42

192

83

23

340 (34.1%)

Total

170

537

191

98

996

  1. a Interventions can be identified at multiple levels