Table 5.
Total opportunities for error | Error rate (excluding minor timing errors) | Type of medication error | |||||
Timing error | Wrong dose | Omission | Wrong formul'n or route | Other | |||
WARD STOCK-BASED SYSTEMS | |||||||
Stewart et al., 1991 [53] | 2017 | 369 (18.3%) | 75 (3.7%) | 46 (2.3%) | 82 (4.1%) | 6 (0.3%) | 160 (7.9%) |
McNally et al., 1997 [54] | 494 | 76 (15.4%) | 22* (4.5%) | 20 (4.0%) | 13 (2.6%) | 2 (0.4%) | 19 (3.8%) |
Lawler et al. 2004 [24] | 4887 | Omission only assessed | 369 (7.6%) | ||||
COMBINATION SYSTEMS | |||||||
Rippe and Hurley, 1988 [55] | 312 | 52 (16.7%) | 24 (7.7%) | 6 (1.9%) | 12 (3.8%) | 3 (0.96%) | 7 (2.2%) |
Camac et al., 1996 [56] | 370† | 47 (12.7%) | 25 (6.8%) | N/G‡ | N/G‡ | N/G‡ | N/G‡ |
INDIVIDUAL PATIENT SUPPLY | |||||||
de Clifford et al., 1994 [57] | 164 | 10 (6.1%) | 1 (0.6%) | 2 (1.2%) | 5 (3.0%) | 0 | 2 (1.2%) |
McNally et al., 1997 [54] | 502 | 24 (4.8%) | 12* (2.4%) | 2 (0.4%) | 7 (1.4%) | 0 | 3 (0.6%) |
Thornton and Koller 1994 [58] | 242 | 20 (8.3%) | 2 (0.8%) | 0 | 13 (5.4%) | 0 | 5 (2.1%) |
IV FLUID ADMINISTRATIONS | |||||||
Han et al., 2005 [25] | 687 | 124 (18%) |
* Major timing errors included, minor timing errors excluded – a deviation of 2 or more hours from the ordered time. All other studies define a 'timing error' as a deviation of one or more hours from the ordered time.
† Total data using two different storage sites – ward bay medication drawer and patient's bedside locker.
‡ N/G – insufficient data given to calculate rate of individual error types