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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