Human factors, n = 3340 |
Performance deficit |
1436 |
21.5 |
Knowledge deficit |
504 |
7.5 |
Inadequate screening of patient |
445 |
6.7 |
Miscalculation of dose or infusion rate |
341 |
5.1 |
Failure to activate delivery system properly |
173 |
2.6 |
Wrong amount of active medication used |
126 |
1.9 |
Error in stocking |
108 |
1.6 |
Wrong diluent used for infusion |
69 |
1.0 |
Stress |
55 |
0.8 |
Wrong amount of diluent used |
48 |
0.7 |
Wrong medication added to infusion |
27 |
0.4 |
Intimidating behaviour |
8 |
0.1 |
Contributing factors, n = 3340 |
Policies and procedures |
1619 |
24.2 |
Frequent interruptions and distractions |
639 |
9.6 |
Communication relating to patient movements |
461 |
6.9 |
Lack of available trained health professionals |
216 |
3.2 |
Inadequate training provided |
155 |
2.3 |
Insufficient or incorrect counselling offered to patients or parents |
126 |
1.9 |
Floor stock |
124 |
1.9 |