Table 4 Types of errors for high-alert medications from 2011 to 2013
From: Using Positive Deviance to reduce medication errors in a tertiary care hospital
High-alert medication | p | ||
|---|---|---|---|
No | Yes | ||
N = 3108 | N = 905 | ||
n (%) | n (%) | ||
Wrong Time | 483 (15.94) | 150 (16.93) | 0.45b |
Prescription Error | 230 (7.59) | 140 (15.80) | <0.001b |
Wrong medication | 409 (13.50) | 112 (12.64) | 0.54b |
Wrong dosage | 316 (10.43) | 110 (12.42) | 0.09b |
Medication not administered | 693 (22.87) | 85 (9.59) | <0.001b |
Administration error | 229 (7.56) | 60 (6.77) | 0.45b |
Wrong infusion time | 54 (1.78) | 59 (6.66) | <0.001b |
Absence of prescription | 66 (2.18) | 27 (3.05) | 0.13b |
Error in preparation | 58 (1.91) | 26 (2.93) | 0.06b |
Wrong Patient | 128 (4.22) | 26 (2.93) | 0.09b |
Error in acquisition | 75 (2.48) | 21 (2.37) | 0.87b |
Wrong dilution | 34 (1.12) | 19 (2.14) | 0.02b |
Wrong route | 78 (2.57) | 19 (2.14) | 0.48b |
Unauthorized administration | 31 (1.02) | 11 (1.24) | 0.57b |
Wrong administration technique | 9 (0.30) | 7 (0.79) | 0.07a |
Wrong treatment duration | 9 (0.30) | 6 (0.68) | 0.12a |
Wrong date | 11 (0.36) | 5 (0.56) | 0.38a |
Allergy not considered | 23 (0.76) | 4 (0.45) | 0.33b |
Illegible | 30 (0.99) | 3 (0.34) | 0.06b |
Wrong paperwork | 31 (1.02) | 3 (0.34) | 0.05b |
Prior history of allergy | 89 (2.94) | 3 (0.34) | <0.001b |
Monitoring | 5 (0.17) | 3 (0.34) | 0.39a |
Absence of checking | 4 (0.13) | 2 (0.23) | 0.62a |
Dispensing error | 8 (0.26) | 2 (0.23) | >0.99a |
Not Identified | 2 (0.07) | 1 (0.11) | 0.54a |
Inadequate actions of patient/family | 3 (0.10) | 1 (0.11) | >0.99a |