Table 3.
Medication Administration Errors 2011 and 2012
| Medication | MAEs | Administrations | MAE Rate | MAEs identified by Incident Reporting | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 2011 | 2012 | Overall Totals | 2011 | 2012 | Overall Totals | 2011 | 2012 | Overall Totals | ||
| Narcotic Medications | ||||||||||
| Fentanyl | 2 | 2 | 4 | 593 | 412 | 1005 | 0.3% | 0.5% | 0.4% | 4 |
| Morphine | 5 | 6 | 11 | 1971 | 2038 | 4009 | 0.3% | 0.3% | 0.3% | 6 |
| Vasoactive Medications | ||||||||||
| Dobutamine | 0 | 0 | 0 | 8 | 2 | 10 | 0% | 0% | 0% | 0 |
| Dopamine | 3 | 2 | 5 | 32 | 11 | 43 | 9.4% | 18.2% | 11.6% | 0 |
| Epinephrine | 184 | 105 | 289 | 1647 | 1243 | 2890 | 11.2% | 8.4% | 10% | 7 |
| Milrinone | 4 | 1 | 5 | 1216 | 709 | 1925 | 0.33% | 0.14% | 0.3% | 2 |
| Vasopressin | 11 | 43 | 54 | 128 | 293 | 421 | 8.6% | 14.7% | 12.8% | 1 |
| Fluids | ||||||||||
| IVF | 137 | 136 | 273 | 4270 | 4297 | 8567 | 3.2% | 3.2% | 3.2% | 13 |
| PN | 302 | 347 | 649 | 8613 | 11601 | 20124 | 3.5% | 3.0% | 3.2% | 13 |
| Lipid | 103 | 100 | 203 | 6319 | 8908 | 15227 | 1.6% | 1.1% | 1.3% | 11 |
| Insulin | ||||||||||
| Insulin | 9 | 4 | 13 | 284 | 172 | 456 | 3.2% | 2.3% | 2.9% | 3 |
IVF- intravenous fluids; PN – parenteral nutrition