Table 4

Stage at which errors were detected for each error type

Error 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 administrationOtherMissingTotal
Transcription345 (63.1%)24 (4.4%)10 (1.8%)80 (14.6%)42 (7.7%)21 (3.8%)4 (0.7%)20 (3.7%)1 (0.2%)547
Calculation166 (61.5%)33 (12.2%)10 (3.7%)35 (13.0%)10 (3.7%)4 (1.5%)1 (0.4%)11 (4.1%)0270
Drug140 (66.7%)29 (13.8%)2 (1.0%)27 (12.9%)6 (2.9%)1 (0.5%)1 (0.5%)4 (1.9%)0210
Dose/strength114 (44.5%)32 (12.5%)8 (3.1%)52 (20.3%)24 (9.4%)14 (5.5%)3 (1.2%)9 (3.5%)0256
Diluent106 (49.3%)61 (28.4%)7 (3.3%)32 (14.9%)3 (1.4%)005 (2.3%)1 (0.5%)215
Final volume38 (11.8%)40 (12.4%)8 (25.8%)116 (36.0%)20 (6.2%)9 (2.8%)1 (0.3%)14 (4.3%)1 (0.3%)322
Label920 (54.4%)34 (2%)59 (3.5%)435 (25.7%)100 (5.9%)106 (6.3%)3 (0.2%)31 (1.8%)2 (0.1%)1690
Expiry201 (54.2%)3 (0.8%)16 (4.3%)86 (23.2%)17 (4.6%)29 (7.8%)4 (1.1%)15 (4.0%)0371
Container49 (43%)33 (28.9%)1 (0.9%)17 (14.9%)4 (3.5%)4 (3.5%)05 (4.4%)1 (0.9%)114
Other246 (25.8%)166 (17.4%)39 (4.1%)187 (19.6%)143 (15.0%)29 (3.0%)7 (0.7%)129 (13.5%)7 (0.7%)953
Total2325 (47%)455 (9.2%)235 (4.7%)1067 (21.6%)369 (7.5%)217 (4.4%)24 (0.5%)243 (4.9%)13 (0.3%)4948