Table 2.
Error code* | Error type | Current guidelines (control) (n=133 simulations) |
User-tested guidelines (n=140 simulations) |
||||||
Minor | Moderate | Severe | Total | Minor | Moderate | Severe | Total | ||
Number of IMG-related errors | |||||||||
I1 | Wrong reconstituting fluid | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
I2 | Wrong reconstituting fluid volume | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 |
I3 | Dose discrepancy | 13 | 16 | 0 | 29 | 4 | 6 | 0 | 10 |
I4 | Wrong diluent | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 |
I5 | Wrong diluent volume | 0 | 6 | 0 | 6 | 0 | 0 | 0 | 0 |
I6 | Incorrect technique (IMG related) | 1 | 55 | 0 | 56 | 6 | 58 | 0 | 64 |
I7 | Wrong route | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
I8 | Flush error | 0 | 12 | 0 | 12 | 0 | 12 | 0 | 12 |
I9 | Rate discrepancy | 10 | 30 | 0 | 40 | 1 | 12 | 0 | 13 |
I10 | Infusion expiry error | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
I11 | Other IMG-related error† | 23 | 4 | 5 | 32 | 1 | 2 | 1 | 4 |
Total IMG-related errors | 48 | 123 | 5 | 176 | 12 | 91 | 1 | 104 | |
Number of non-IMG-related errors | |||||||||
N1 | Wrong medication | 0 | 5 | 0 | 5 | 0 | 6 | 0 | 6 |
N2 | Incorrect technique (non-IMG related) | 64 | 34 | 0 | 98 | 69 | 52 | 0 | 121 |
N3 | Non-aseptic technique | 264 | 194 | 0 | 458 | 289 | 220 | 0 | 509 |
N4 | Expired ingredient | 0 | 5 | 0 | 5 | 0 | 2 | 0 | 2 |
N5 | Other non-IMG-related error | 10 | 0 | 0 | 10 | 9 | 1 | 0 | 10 |
Total non-IMG-related errors | 338 | 238 | 0 | 576 | 367 | 281 | 0 | 648 |
*Error codes cross-reference to the observation recording forms shown in online supplementary file 2 and online supplementary file 3, table 4.
†Other IMG-related errors consisted of participants who were not confident to finish the simulation without assistance from a colleague and composite errors where a participant gave the dose as a short injection, so it was both undiluted and administered too quickly.
IMG, Injectable Medicines Guide.