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. 2019 Jun 9;9(6):e028170. doi: 10.1136/bmjopen-2018-028170

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.