Table 4.
Number of incidents by main medication process involved.
| Medication process | Own home | Residential care | Nursing care | Other institutional setting | Hospice | Acute hospital | General practice surgery | Unknown | Number by harm severity (%) | Number (%) n = 1317 |
|---|---|---|---|---|---|---|---|---|---|---|
| Monitoring and supply | 130 | 6 | 15 | 3 | 2 | 229 | 5 | 14 | Low - 216 Moderate - 74 Severe harm/death - 13 Other - 102 |
405 (31%) |
| Administration | 132 | 8 | 20 | 2 | 10 | 176 | 3 | 32 | Low - 216 Moderate - 67 Severe harm/death - 11 Other - 108 |
383 (29%) |
| Prescribing | 66 | 4 | 4 | 2 | 11 | 142 | 27 | 102 | Low - 126 Moderate - 29 Severe harm/death - 9 Other - 104 |
268 (20%) |
| Transition between care settings | 20 | 0 | 1 | 0 | 4 | 98 | 2 | 2 | Low - 49 Moderate - 26 Severe harm/death - 12 Other - 40 |
127 (10%) |
| Decision making a | 24 | 1 | 7 | 1 | 0 | 34 | 5 | 4 | Low - 40 Moderate - 16 Severe harm/death - 5 Other - 15 |
76 (6%) |
| Stopping medications | 7 | 0 | 1 | 0 | 0 | 30 | 1 | 2 | Low - 22 Moderate - 5 Severe harm/death - 0 Other - 14 |
41 (3%) |
| Other | 6 | 0 | 3 | 0 | 1 | 3 | 1 | 3 | Low – 6 Moderate – 1 Severe harm/ death – 0 Other - 10 |
17 (1%) |
a
Decision-making includes clinician decisions to prescribe and choice of medication.