Table 5.

Examples of medication administration errors in the ICU of JUSH, April 2011

S. no	Examples of medication administration errors
1	Crystalline penicillin was administered 5 times a day instead of 6 times for all patients, i.e. it wasn’t administered at 2:00 am for all patients
2	Metronidazole IV was mostly missed in the ICU because of lack of the drug in that preparation
3	Quinine IV was mostly missed because it wasn’t available
4	Lovastatin was mostly missed because of lack of the drug
5	Rate of administration of dopamine was 80drops/min which was different from what was labeled on the IV fluid bag, i.e. 30 drops/min for a 60 years old male patient
6	Doses of ceftriaxone were missed for a 35 years old female due to lack of the drug
7	Dose and rate infusion of metronidazole was arbitrarily determined for a 4 years child (250 mg was given in 500 mg/100 ml )
8	Ampicillin was given to an 8 years old male child although the order sheet reads as Cloxacillin
9	An 18 years female patient continued taking methyldopa even after the physician ordered to discontinue the medication
10	Most medications in the morning were being given after 7:00 am instead of 6:00 am
11	Most medications in the afternoon (especially during the weekends) were given before 5:00 pm
12	The morning dose of ceftriaxone was missed for an 8 years female child