Code | N |
---|---|
Unknown | 5326 |
Multiple systems (two or more electronic systems) | 1211 |
Use of system or SIG abbreviations | 494 |
Failure to follow established procedures or protocol | 480 |
Profiling Issues: failure to perform or use correctly | 443 |
Inexperienced end user | 415 |
Lack of computer training/system knowledge | 325 |
Typing error | 206 |
Hybrid system (electronic and paper) | 205 |
Communication issues | 200 |
System limitations/inadequacy: routing/mapping issue | 186 |
Lack of clinical knowledge | 186 |
Medication reconciliation issue | 184 |
Alert ignored/overridden | 153 |
Nursing administration issues | 149 |
Pharmacy order entry problems/issues | 134 |
Transcriptions (copy/paste) | 133 |
Comments field free text confusing/confusion | 121 |
eMAR/MAR issues | 119 |
Order set/template/protocol issues | 113 |
Drug dictionary miscode/out-of-date drug information | 109 |
Patient identification issue | 95 |
Initial vs continuing order issue | 93 |
Patient transferred (within hospital) | 91 |
Misinterpretation of order(s) | 72 |
eMAR, electronic medication administration record; MAR, medication administration record; SIG, sig code for directions on how to take a medication.