Table 3

Stage at which errors were detected for each product type

Product typeStage at which error detected
First check in assembly areaOperator check in preparation areaDuring labellingFinal check prior to releaseAt release stageIn clinical area prior to administrationIn clinical area during or after administrationOtherNot recordedTotal
Cytotoxic adult1045 (55.9%)109 (5.8%)47 (2.5%)451 (24.1%)65 (3.5%)108 (5.8%)7 (0.4%)31 (1.7%)5 (0.3%)1868
Cytotoxic paediatric27 (24.3%)11 (9.9%)5 (4.5%)41 (36.9%)6 (5.4%)16 (14.4%)1 (0.9%)4 (3.6%)0111
Parenteral nutrition—adult383 (56.2%)56 (8.2%)30 (4.4%)99 (14.5%)43 (6.3%)22 (3.2%)4 (0.6%)43 (6.3%)1 (0.1%)681
Parenteral nutrition—paediatric74 (41.3%)21 (11.7%)047 (26.3%)16 (8.9%)7 (3.9%)3 (1.7%)11 (6.1%)0179
Other intravenous additive504 (39.3%)179 (14.0%)128 (10.0%)262 (20.5%)110 (8.6%)35 (2.7%)6 (0.5%)56 (4.4%)1 (0.1%)1281
Other prefilled syringes60 (19.4%)24 (7.7%)4 (1.3%)76 (24.5%)78 (25.2%)9 (2.9%)1 (0.3%)58 (18.7%)0310
Other68 (31.3%)33 (15.2%)7 (3.2%)35 (16.1%)40 (18.4%)3 (1.4%)2 (0.9%)26 (12%)3 (1.4%)217
Not recorded24 (54.5%)3 (6.8%)3 (6.8%)8 (18.2%)2 (4.5%)2 (4.5%)002 (4.5%)44
Total2185 (46.6%)436 (9.3%)224 (4.8%)1019 (21.7%)360 (7.7%)202 (4.3%)24 (0.5%)229 (4.9%)12 (0.3%)4691