Adverse event type
| Preventable adverse events (N=15) | Potential adverse events (N=41) | |
|---|---|---|
| Type, n (%) | ||
| Adverse drug event | 3 (20%) | 6 (15%) |
| Ordering error | 0 (0%) | 2 (9%) |
| Transcription error | 2 (13%) | 2 (9%) |
| Dispensing error | 0 (0%) | 1 (5%) |
| Administration error | 1 (7%) | 0 (0%) |
| Other | 0 (0%) | 1 (5%) |
| Hospital-acquired infection | 2 (13%) | 2 (5%) |
| Hospital-acquired pneumonia | 0 (0%) | 1 (2%) |
| Methicillin-resistant Staphylococcus aureus | 1 (7%) | 1 (2%) |
| Vancomycin-resistant enterococcus | 1 (7%) | 0 (0%) |
| Complications of hospitalisation | 4 (27%) | 10 (24%) |
| Aspiration | 0 (0%) | 1 (2%) |
| Pressure ulcers | 1 (7%) | 0 (0%) |
| Falls | 1 (7%) | 8 (20%) |
| Venous thromboembolism | 0 (0%) | 1 (2%) |
| Other | 2 (13%) | 0 (0%) |
| Treatment problem | 2 (13%) | 11 (27%) |
| Medical | 0 (0%) | 4 (10%) |
| Nursing | 2 (13%) | 6 (15%) |
| Other | 0 (0%) | 1 (2%) |
| Fluid or diet problem | 1 (7%) | 9 (22%) |
| Diagnostic error or delay | 2 (13%) | 2 (5%) |
| Procedural complication | 1 (7%) | 1 (2%) |