TABLE 3.
Medication | Site A | Site B | Site C |
---|---|---|---|
Total medications reviewed | 335 | 510 | 118 |
Median medications per child (range) | 10 (3–26) | 12 (5–23) | 7 (3–13) |
Administrations observed | 96 | 105 | 41 |
Crude error rate per 100 medications | 12 | 3 | 13 |
Adjusted error rate per 100 medicationsa | 9.6 (7.5–11.7) | 3.0 (0.9–4.1) | 15.0 (11.4–18.6) |
Chemotherapy medications | 72 | 74 | 43 |
Chemotherapy errors | 8 | 2 | 4 |
Supportive medications | 32 | 45 | 13 |
Supportive medication errorsb | 2 | 0 | 1 |
Antibiotics, antiviral agents, antifungal | 56 | 70 | 19 |
Antibiotics, antiviral agents, antifungal errors | 11 | 4 | 4 |
Gastrointestinal medications | 62 | 119 | 3 |
Gastrointestinal medication errors | 1 | 4 | 1 |
NSAIDS and local anesthetics | 22 | 45 | 3 |
NSAIDs and local anesthetic errors | 3 | 0 | 1 |
Narcotics | 19 | 51 | 8 |
Narcotic errors | 2 | 2 | 1 |
Respiratory medications | 8 | 5 | 1 |
Respiratory medication errors | 3 | 0 | 0 |
Antiepileptic/neurologic medications | 9 | 36 | 7 |
Antiepileptic/neurologic medications errors | 0 | 0 | 0 |
Allergy medication | 16 | 11 | 8 |
Allergy medication errors | 3 | 1 | 2 |
Vitamins | 13 | 14 | 0 |
Vitamin errors | 1 | 0 | 0 |
Topical agent | 7 | 8 | 1 |
Topical agent errors | 1 | 0 | 0 |
Behavior/mental health medications | 8 | 9 | 8 |
Behavior/mental health medication errors | 4 | 2 | 1 |
Other medications | 11 | 23 | 1 |
Other medication errors | 1 | 1 | 0 |
Supportive medications included antiemetic agents and other medications included methylphenidate for attention-deficit disorder or medications for Pneumocystis prophylaxis. NSAIDs, nonsteroidal antiinflammatory drugs.
The adjusted rate per medication was weighted to account for clustering by individual patient.
Supportive medications were those required to support safe chemotherapy use.