TableĀ 2

Top 25 what happened? Codes

CodeN
Missing or incorrect directions/patient instructions2088
Ordered wrong dose or strength877
Missing quantity or wrong number ordered877
Unknown680
Wrong schedule entered566
Duplicate order: same exact drug510
Overdose or potential overdose376
Ordered wrong formulation/dosage form363
Order not processed/delayed361
Extra dose potential337
Ordered wrong drug302
Routing issue275
Comment field issue267
Missed does potential256
Nursing administration issues240
Wrong time selected234
Ordered/entered for wrong patient229
Discontinuation issues216
Not processed/delayed: order confusing/needed clarification203
Patient missed dose203
Omitted drug167
Ordered wrong PO formulation, (eg, ER, XR, etc)160
Patient given extra dose152
Telephonic/verbal order issues139
Correct drug ordered/wrong drug processed138
  • ER, extended release; PO, by mouth; XR, extended release.