Table 1 Potential causes of AE during nursing activities grouped into the main categories of the root-cause diagram
From: Causes of adverse events in home mechanical ventilation: a nursing perspective
Category (Ishikawa) | Causes of adverse events in HMV |
|---|---|
Patient (health-related circumstances) | Heart frequency reduction (vagus stimulus) |
Vomiting | |
Aspiration | |
Hyperventilation | |
Tracheal ulcer | |
Pneumonia | |
Health deterioration | |
Swallowing disorders | |
Diffusion disorders | |
Compliance disorder | |
(Airway) obstruction | |
Drug reaction (tachycardia) | |
Swelling of the respiratory tract | |
Machine and Material | Bending of the breathing tube |
Oxygen leakage, leakage in the cuff | |
Extubation, tracheostomy decannulation, relocation | |
Leakage in the hose system | |
Device faults, power blackout | |
Ventilation filter obstructed | |
Caregiver | Caregiver asleep during night |