n(%)* | All sites | Site A | Site B | Site C | Site D | Site E | Site F | Site G | Site H | Site I | Site J |
---|---|---|---|---|---|---|---|---|---|---|---|
Number of medications | 1164 | 192 | 60 | 88 | 138 | 48 | 108 | 120 | 216 | 95 | 99 |
Tubing not tagged according to policy | 407 (35.0) | 45 (23.4) | 20 (33.3) | 29 (33.0) | 50 (36.2) | 17 (35.4) | 11 (10.2) | 110 (91.7) | 88 (40.7) | 17 (17.9) | 20 (20.2) |
Label not complete according to policy | 699 (60.1) | 123 (64.1) | 34 (56.7) | 44 (50.0) | 33 (23.9) | 6 (12.5) | 52 (48.1) | 115 (95.8) | 201 (93.1) | 65 (68.4) | 26 (26.3) |
No hospital label | 281 (24.1) | 95 (49.5) | 15 (25.0) | 44 (50.0) | 1 (0.7) | 18 (16.7) | 55 (25.5) | 41 (43.2) | 12 (12.1) | ||
Incomplete hospital label | 418 (35.9) | 28 (14.4) | 19 (31.7) | 32 (23.5) | 6 (12.5) | 34 (31.5) | 115 (99.1) | 146 (68.5) | 24 (25.3) | 14 (14.1) | |
Missing information on hospital label† | |||||||||||
Time | 270 (64.6) | 25 (89.3) | 19 (100) | 25 (78.1) | 3 (50.0) | 27 (79.4) | 114 (99.1) | 19 (13.0) | 21 (87.5) | 7 (50.0) | |
Date | 212 (50.7) | 28 (100) | 9 (47.4) | 1 (16.7) | 19 (55.9) | 114 (99.1) | 10 (6.8) | 24 (100) | 1 (7.1) | ||
Expiration date | 159 (38.0) | 5 (26.3) | 32 (100) | 1 (2.9) | 1 (0.9) | 116 (79.5) | 1 (7.1) | ||||
Hung by | 69 (16.5) | 4 (14.3) | 5 (26.3) | 23 (67.6) | 28 (19.2) | 3 (12.5) | 6 (42.9) | ||||
Volume | 60 (14.4) | 1 (2.9) | 58 (39.7) | 1 (4.2) | |||||||
Patient’s location | 59 (14.1) | 6 (31.6) | 5 (14.7) | 48 (32.9) | |||||||
Patient’s name | 38 (9.1) | 8 (42.1) | 1 (16.7) | 7 (20.6) | 15 (10.3) | 7 (50.0) | |||||
Dose | 6 (1.4) | 4 (11.8) | 1 (0.7) | 1 (4.2) | |||||||
Drug name | 4 (1.0) | 1 (5.3) | 1 (2.9) | 2 (1.4) |
*Error frequency=number of errors/number of medications observed.
†Error frequency=number of errors/number of incomplete hospital labels.