A potential cause of error, raised in relation to several of the failure modes, was being directly interrupted or distracted by background events when carrying out nursing tasks. Interruptions and distractions are frequent in clinical environments and can be a contributory factor to error (Rivera-Rodriguez &Karsh, 2010). FMEA highlighted the unit's lack of control against interruptions. Notably absent was any quiet space in which to perform cognitive tasks such as interpreting blood test results, double-checking drug doses, and completing patient paperwork. To correct this, the creation of a silent area was proposed-in an office or storeroom-in which it is known and accepted that, unless strictly necessary, nurses working in the area should not be disturbed.