Type of error | Pre-education | Post-education | ||||
---|---|---|---|---|---|---|
No | % of all errors | % of OE | No | % of all errors | % of OE | |
OE, opportunities for error. | ||||||
Omission due to unavailability | 13 | 15.9 | 1.1 | 14 | 21.2 | 1.1 |
Other omission | 23 | 28.0 | 1.9 | 15 | 22.7 | 1.1 |
Wrong dose | 18 | 22.0 | 1.5 | 14 | 21.2 | 1.1 |
Extra dose | 7 | 8.5 | 0.6 | 3 | 4.5 | 0.2 |
Wrong drug | 0 | 0 | 0 | 3 | 4.5 | 0.2 |
Unordered drug | 0 | 0 | 0 | 1 | 1.5 | 0.1 |
Rapid administration of intravenous bolus | 6 | 7.3 | 0.5 | 10 | 15.2 | 0.8 |
Deteriorated drug | 4 | 4.9 | 0.3 | 1 | 1.5 | 0.1 |
Wrong pharmaceutical form | 7 | 8.5 | 0.6 | 3 | 4.5 | 0.2 |
Wrong diluent | 0 | 0 | 0 | 2 | 3.0 | 0.2 |
Wrong solvent | 2 | 2.4 | 0.2 | 0 | 0 | 0 |
Other | 2 | 2.4 | 0.2 | 0 | 0 | 0 |
Total | 82 | 100 | 6.9 | 66 | 100 | 5.0 |