Table 3

Violation of hospital policy error frequency by type and by site

n(%)*All sitesSite ASite BSite CSite DSite ESite FSite GSite HSite ISite J
Number of medications11641926088138481081202169599
Tubing not tagged according to policy407 (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 policy699 (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 label281 (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 label418 (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
Time270 (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)
Date212 (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 date159 (38.0)5 (26.3)32 (100)1 (2.9)1 (0.9)116 (79.5)1 (7.1)
Hung by69 (16.5)4 (14.3)5 (26.3)23 (67.6)28 (19.2)3 (12.5)6 (42.9)
Volume60 (14.4)1 (2.9)58 (39.7)1 (4.2)
Patient’s location59 (14.1)6 (31.6)5 (14.7)48 (32.9)
Patient’s name38 (9.1)8 (42.1)1 (16.7)7 (20.6)15 (10.3)7 (50.0)
Dose6 (1.4)4 (11.8)1 (0.7)1 (4.2)
Drug name4 (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.