Type of error | Pre-intervention No. of errors (% of OE) | Post-intervention No. of errors (% of OE) |
---|---|---|
IV, intravenous; OE, opportunities for error. | ||
Wrong drug | 2 (0.1) | — |
Wrong dose | 29 (1.8) | 5 (0.4) |
Wrong patient | 5 (0.3) | — |
Wrong route | 2 (0.1) | 6 (0.5) |
Wrong form | — | — |
Wrong time | — | 1 (0.1) |
Extra dose | 2 (0.1) | — |
Expired drug | 1 (0.1) | — |
Omission due to unavailability | 26 (1.6 | 25 (2.1) |
Other omission | 42 (2.6) | 11 (0.9) |
Wrong diluent | 1 (0.1) | — |
Fast administration IV bolus | 31 (1.9) | 5 (0.4) |
Total | 141 (8.6) | 53 (4.4) |