Factors implicated for complaint against neonatal units
| Factors implicated in cause of errors | Study |
| Inadequate supervision of junior colleagues in resuscitation setting—delay in senior arriving | Ashcroft17 |
| Lack of training of junior doctors in resuscitation | Ashcroft17 |
| Culture of work and hierarchy resulting in a fear of asking for help | Ashcroft17 |
| Errors due to lack of adequate on site expert medical assistance (generally on shifts after 5 pm or over the night the shift) | Ashcroft17 |
| Not adequately listening to maternal or family concerns | Hawdon et al19 |
| Reduced access to proper equipment in a timely fashion for example, lab testing of glucose versus near patient testing devices | Hawdon et al19 |
| System failures for example, lack of cots in neonatal unit or on the ward contributing to delays in initiating time critical treatment (phototherapy) | Rennie et al20 |
| Lack of training in communication | Nguyen et al13 |
| Staff shortage and high workload | Ashcroft17 |
| Human factors—for example, tiredness | Ashcroft17 |