Table 4.
Reference | Number of prescriptions or charts audited | No. of errors detected (rate) | Major findings |
Discharge prescriptions | |||
Coombes et al. 2004 [15] | 605 medications on 100 hand written prescriptions | 30 (5.0% of medications) | The most common types of errors were omissions (2.6%) and dosing errors (0.8%). |
Coombes et al. 2004 [15] | 700 medications on 100 computer generated prescriptions | 81 errors (11.6% of medications) | The most common types of errors were dosing errors (3.6%), duration errors (1.9%), medication not required on discharge (2.1%) and omissions (1.7%). |
Inpatient and discharge prescriptions from medical and surgical wards assessed | |||
Coombes et al., 2001 [49] | 2978 prescriptions | 71 (2.4%)errors with potential to cause an ADE | The most common error types found were wrong or ambiguous dose (1.0% of prescriptions), dose absent from prescription (0.6% of prescriptions), frequency absent from prescription (0.4% of prescriptions*) |
Medication charts in a paediatric department assessed | |||
Dawson et al., 1993 [50] | 212 medication charts# | 52 major errors** (24.5% of med'n charts) | The most common error types were dose errors (12.3% of charts reviewed), error of administration frequency (5.7% of charts reviewed), error of administration route (5.2% of charts reviewed), error in drug name/formulation (1.4% of charts reviewed). |
Dawson et al., 1993 [50] | 325 medication charts# | 35 major errors** (10.8% of med'n charts) | The most common error types were dose errors (4.9% of charts reviewed), error of administration route (2.5% of charts reviewed), error of administration frequency (1.8% of charts reviewed), error in drug name/formulation (1.5% of charts reviewed). |
Errors in medical, surgical, children's wards and a critical care unit assessed | |||
Leversha, 1991 [51] | 6641 medication chart checks | 241 (3.6% of chart checks) | Prescribing errors detected were incorrect dose (1.2% of chart checks), no strength specified (1.0%), insufficient information (0.2%). It was also found that failure to record the patient's current (ongoing) medication on the chart occurred in 69 cases (1.0% of chart checks) |
Prescriptions presenting to pharmacy department assessed | |||
Fry et al., 1985 [52] | 10 562 prescriptions | 574 (5.4%), | Included assessment of legal requirements, (eg patient name and address, doctor's signature) as well as clinical requirements (eg dose, frequency,) The strength was missing or incorrect in 0.7%, the directions inappropriate or omitted in 0.4%, and the wrong drug in 0.06%. |
* Percentage of prescriptions for regular and 'as required" medications only; ** Major errors included errors in drug name, dose, formulation, route or frequency of administration; #Note: unit of analysis is medication chart, which may include one or more prescriptions.