Table 3.
Prescribing error type | Simple | Complex | ||||||
Scenario A | Scenario B | Scenario C | Scenario D | |||||
Errors (error rate, %) | N | Errors (error rate, %) | N | Errors (error rate, %) | N | Errors (error rate, %) | N | |
Wrong patient* | 0 | 32 | 0 | 32 | ||||
Missed allergy* | 5 (16) | 32 | 5 (16) | 32 | ||||
Medication name | 0 | 192 | 1 (0.5) | 192 | 0 | 128 | 0 | 128 |
Dose | 0 | 192 | 1 (0.6) | 160 | 3 (2.3) | 128 | 1 (0.8) | 128 |
Route | 0 | 192 | 0 | 160 | 1 (0.8) | 128 | 0 | 128 |
Formulation | 0 | 192 | 0 | 192 | 0 | 128 | 0 | 128 |
Administration time | 9 (2.8) | 320 | 16 (3.8) | 416 | 1 (1) | 96 | 0 | 128 |
Frequency | 6 (1.0) | 192 | 0 | 192 | 5 (3.9) | 128 | 0 | 128 |
Medical omission | 0 | 192 | 0 | 192 | 4 (3.1) | 128 | 1 (0.8) | 128 |
Date error | 0 | 192 | 0 | 192 | 6 (4.7) | 128 | 6 (4.7) | 128 |
Qualifier omission‡ | 4 (12) | 32 | ||||||
Cessation error† | 5 (8) | 64 | 2 (3) | 64 | ||||
PRN max dose omission† | 4 (6) | 64 | ||||||
Total | 16 | 1728 | 27 | 1792 | 29 | 1120 | 10 | 1088 |
Mean error rate, % (SD) | 0.93 (1.49) | 1.51 (1.64) | 2.59 (2.55) | 0.92 (1.57) |
Error type not applicable to the complex tasks.
Error type not applicable to the simple tasks and scenario D.
Error type not applicable to scenario A and the complex tasks.
N=number of opportunities for error. For example, six medications are prescribed in scenario A, which is completed by all 32 participants; therefore, creating 192 opportunities for error in selecting the medication name.