Table 2.
Reasons for omissions of high-risk medicines on medical and surgical wards
Patient’s ward speciality | ||||||||||||||||
Medical | Surgical | |||||||||||||||
Anti- infectives | Insulin | Opioids | Anticoagulants | Anti-infectives | Insulin | Opioids | Anticoagulants | |||||||||
n | n/PO (%(95% CI)) |
n | n/PO (%(95% CI)) | n | n/PO (%(95% CI)) | n | n/PO (%(95% CI)) | n | n/PO (%(95% CI)) | n | n/PO (%(95% CI)) | n | n/PO (%(95% CI)) | n | n/PO (%(95% CI)) | |
Reasons for omissions of each drug group | ||||||||||||||||
Valid clinical reasons | 25 | 25 (16 to 33) | 13 | 52 (0.31 to 0.73) | 5 | 17 (0.03 to 0.32) | 74 | 56 (0.48 to 0.65) | 11 | 25 (12 to 38) | 3 | 23 (0 to 50) | 15 | 27 (15 to 39) | 40 | 58 (46 to 70) |
Outstanding reconciliation | 0 | – | 0 | – | 0 | – | 0 | – | 1 | 2 (2 to 7) | 0 | – | 0 | – | 5 | 7 (1 to 14) |
Medicine not available | 32 | 32 (22 to 41) | 1 | 4 (0 to 12) | 4 | 14 (0 to 27) | 2 | 2 (0 to 4) | 10 | 23 (10 to 36) | 1 | 8 (9 to 24) | 4 | 7 (0 to 14) | 2 | 3 (0 to 7) |
Route not available | 11 | 11 (22 to 41) | 0 | – | 1 | 3 (0 to 11) | 1 | 1 (0 to 2) | 4 | 9 (0 to 18) | 2 | 15 (0 to 38) | 4 | 7 (0 to 14) | 0 | – |
Undocumented reasons | 14 | 14 (7 to 21) | 3 | 12 (0 to 26) | 4 | 14 (0 to 27) | 19 | 15 (8 to 21) | 9 | 20 (8 to 33) | 2 | 15 (0 to 38) | 1 | 2 (0 to 5) | 13 | 19 (9 to 28) |
Patient refusals | 21 | 21 (13 to 29) | 5 | 20 (3 to 37) | 16 | 55 (36 to 74) | 34 | 26 (18 to 34) | 8 | 18 (6 to 30) | 2 | 15 (0 to 38) | 30 | 55 (41 to 68) | 14 | 20 (11 to 30) |
Absent patient at ward round | 7 | 7 (02 to 12) | 0 | – | 0 | – | 2 | 2 (0 to 4) | 2 | 5 (0 to 11) | 1 | ~8 (0 to 24) | 2 | 4 (0 to 9) | 3 | 4 (0 to 9) |
Other | 12 | 12 (5 to 18) | 6 | 24 (6 to 42) | 1 | 3 (0 to 11) | 7 | 1 (1 to 9) | 5 | 11 (2 to 21) | 2 | 15 (0 to 38) | 3 | 5 (0 to 12) | 2 | 3 (0 to 7) |
PO | 101 | 25 | 29 | 131 | 44 | 13 | 55 | 69 |
N.B. It is possible for patients to have had multiple omissions due to different reasons; for medicines from the same drug group, therefore, the sum of each column will exceed 100%.
n, number of patients with omissions reason; PO, total patients with omissions.