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. 2015 Mar 13;5(3):e005948. doi: 10.1136/bmjopen-2014-005948

Table 1.

Summary of study participants and reported intravenous MAEs

Participant code Gender Years since qualification* Environment at time of MAE Type of MAE Did the error reach the patient Medication class Active failure(s)
N01 F 0–4 Ward Wrong rate Yes Respiratory Slip
N02 F 5–9 Ward Wrong dose Yes Cardiovascular KBM
N03 M 0–4 Ward Wrong drug†‡ Yes Antimicrobial Violation
N04 F 0–4 Ward Wrong dose Yes Endocrine Slip
N05 F 10+ Ward Wrong rate Yes Electrolyte Slip
N06 F 0–4 Ward Wrong rate Yes Cardiovascular KBM
N07 F 5–9 Ward Wrong rate Yes Antimicrobial KBM
0–4 Ward Wrong administration technique Yes Cardiovascular Lapse
N08 F 0–4 Ward Wrong drug‡ Yes Antimicrobial Lapse
N09 F 0–4 Ward Wrong rate Yes Respiratory Slip
N10 F 0–4 Ward Wrong dose† No Cardiovascular KBM
N11 M 5–9 Ward Wrong drug†‡ Yes Antimicrobial Violation
N12 F 0–4 Theatre Wrong preparation§¶ Yes CNS Violation (×2)
N13 M 10+ Ward Wrong preparation Yes Antimicrobial KBM
N14 F 10+ Ward Unordered drug‡§ Yes Endocrine Slip
N15 F 10+ Ward Extra dose†‡§ Yes CNS RBM
N16 F 0–4 Ward Wrong rate Yes Antimicrobial Slip
N17 F 10+ Ward Wrong preparation¶ Yes Cardiovascular Lapse
N18 F 5–9 Ward Wrong rate Yes Cardiovascular RBM
N19 F 10+ Theatre Wrong preparation§¶ Yes CNS Slip, RBM
N20 F 10+ Theatre Wrong dose Yes Cardiovascular Lapse

*Number of years after qualified/licensed as a nurse that intravenous MAE occurred.

†Indicates occasions where nurses prepared and/or administered prescribing errors (eg, poorly written prescription).

‡Wrong drug, wrong patient, unordered drug and extra dose errors are considered ‘unauthorised drug errors’.

§Indicates occasions where a complex chain of events involving different professional groups was involved.

¶Indicates wrong label errors within wrong preparation group.

CNS, central nervous system; F, female; KBM, knowledge-based mistake; M, male; MAE, medication administration error; RBM, rule-based mistake.