Table 4.
Medication error types in potential preventable ADEs pre-EHR and post-implementation
| STAGES | ERROR TYPES | Pre-EHR | Post-implementation | p-value~ | ||
|---|---|---|---|---|---|---|
| ORDERING | Order overdose | 72 | 5% | 77 | 8% | 0.283 |
| Order underdose | 37 | 3% | 41 | 4% | 0.772 | |
| Omitted information | 96 | 7% | 19 | 2% | ** | |
| Order wrong patient | 5 | 0% | 4 | 0% | 1.000 | |
| Order wrong drug | 20 | 2% | 49 | 5% | ** | |
| Order, allergy | 10 | 1% | 13 | 1% | 0.991 | |
| Order, drug-drug interaction | 1 | 0% | 2 | 0% | 1.000 | |
| Error prone abbreviation | 41 | 3% | 0 | 0% | ** | |
| Illegible order | 16 | 1% | 0 | 0% | * | |
| Order wrong start or stop times | 5 | 0% | 58 | 6% | ** | |
| Duplicate orders | 26 | 2% | 107 | 11% | ** | |
| Failure to renew order | 15 | 1% | 0 | 0% | * | |
| Inappropriate or wrong information | 55 | 4% | 105 | 11% | ** | |
| Order-other | 11 | 1% | 17 | 2% | 0.704 | |
| TRANSCRIPTION | Transcription | 84 | 6% | 0 | 0% | ** |
| PREPARATION | Preparation | 3 | 0% | 2 | 0% | 1.000 |
| DISPENSING | Not dispensed or dispensed late | 300 | 23% | 96 | 10% | ** |
| Dispensing-other | 8 | 1% | 6 | 1% | 1.000 | |
| ADMINISTRATION | Admin overdose | 9 | 1% | 2 | 0% | 0.967 |
| Admin underdose | 3 | 0% | 2 | 0% | 1.000 | |
| Admin wrong patient | 1 | 0% | 1 | 0% | 1.000 | |
| Admin wrong drug | 1 | 0% | 1 | 0% | 1.000 | |
| Omitted administrations | 105 | 8% | 132 | 14% | ** | |
| Late administrations | 363 | 27% | 162 | 17% | ** | |
| Incorrect documentation | 19 | 1% | 32 | 3% | 0.094 | |
| Admin, no order | 7 | 1% | 8 | 1% | 1.000 | |
| Admin, allergy | 3 | 0% | 0 | 0% | 0.988 | |
| Admin, other | 8 | 1% | 10 | 1% | 1.000 | |
| MONITORING | Monitoring | 9 | 1% | 11 | 1% | 0.999 |
| TOTAL ERRORS | 1,333 | 100% | 957 | 100% | - | |
p-values of proportional difference tests are adjusted using the Sidak correction to account for multiple comparisons (29 tests).
Bold indicates pre-post differences that are statistically significant at the p<0.05 (*) or p<0.01 (**) levels.