Table 2.
Number of documentation errors identified based on Anatomy and Therapeutic Chemical (ATC) classification of medications
| ATC main group classification | Medication administered but not documented as given (N=513) | Medication not administered, but documented as given (N=80) |
|---|---|---|
| Alimentary tract and metabolism | 190 | 20 |
| Cardiovascular system | 81 | 25 |
| Nervous system | 54 | 13 |
| Anti-infectives for systemic use | 48 | 11 |
| Respiratory system | 40 | 2 |
| Blood and blood-forming organs | 29 | 4 |
| Dermatologicals | 23 | – |
| General nutrients | 19 | 1 |
| Sensory organs | 13 | – |
| Antineoplastic and immunomodulating agents | 9 | 2 |
| Musculo-skeletal system | 4 | – |
| Various | 3 | 2 |
Notes: – denotes no instances of this type of documentation error ‘Various’ refers to multivitamins. Based on ATC classification system for the medications groups.19