Table 2 Themes and sub-themes

Human error and safety oversights

Attention Lapses*6

Safety Neglect *4

Inadequate Precaution

Hasty actions

Inexperience

Team coordination and collaboration

Inadequate coordination

Lack of collaboration

Patient condition

Mobility limitation

Sedated or unconscious patients

Agitation

Staffing and workload management

Inadequate staff*4

Lack of involvement

Equipment issues

Improper use of equipment

Lack of equipment

Inadequate training

Limited or no training received

Reliance on online or verbal training