Table 3.
Cause of medication error | n | % |
---|---|---|
Communication‐related factors, n = 3340 (83.3%) | ||
Medical record documentation | 717 | 17.9 |
Clinical handover | 571 | 14.2 |
Informal bedside communication | 542 | 13.5 |
Misinterpretation of order | 518 | 12.9 |
Misread or unread order | 481 | 12.0 |
Illegible handwriting | 235 | 5.9 |
Decimal point | 107 | 2.7 |
Units of measurement | 91 | 2.3 |
Telephone communication | 56 | 1.4 |
Ward round | 22 | 0.5 |
Confusion with medication name, n = 229 (5.7%) | ||
Generic name confusion | 203 | 5.1 |
Brand name confusion | 26 | 0.6 |
Confusion with labelling and reference material, n = 439 (11.0%) | ||
Label of dispensed product is wrong | 161 | 4.0 |
Problems with reference material | 142 | 3.5 |
Container of manufacturer similar or confusing | 136 | 3.4 |