Wrong drug | Label on the IV drug bag did not match the drug prescribed on the physician order. |
Wrong patient | Patient identification armband on the mannequin did not correspond to the patient information (name, date of birth, and medication registration number) on the physician order. |
Wrong dose hard limit | Dose provided on the physician order was outside of the allowable hard limit specified in the hospital's IV formulary; thus, the dose was clinically inappropriate. |
Wrong dose soft limit | Dose provided on the physician order was outside of the allowable soft limit specified in the hospital's IV formulary; thus the dose was clinically inappropriate. |
Drug not in library | Drug prescribed on the physician's order was not contained in the smart pump and bar code pump drug library. |
Secondary infusion task (maintenance fluid and therapeutic drug) | Nurse participant was required to programme both a maintenance infusion and a secondary (ie, “piggyback”) infusion. Although no errors were planted in this condition, we assessed the prevalence and nature of errors associated with secondary intravenous infusions. |