Aart Cornelis Dijkstra

Discussion An in-depth analysis of a total of 109 SAE reports from 31 Dutch hospitals was conducted to better understand contributing factors of diagnostic SAEs. Results show that diagnostic SAEs occur in nearly every specialty and department and involve multidisciplinary care teams in the majority of cases.

Common contributing factors (ECM) of the main DEER categories In order to find the most common contributing factors to the most common errors, co-occurrences were calculated. Table 3 shows the most common DEER (sub)categories, the contributing factors from the ECM that co-occurred most often with them and examples of the interplay of the different causes. Patient-related factors could be linked to all most common DEER categories. These were omitted from the table for clarity.