Table 1.
Magnitude of error | Total % |
|||
Greater than 1 | Less than 1 | Unknown | ||
(Overdose errors) | (Underdose errors) | |||
Stage of the medicines process | ||||
Prescribing | 429 | 191 | 82 | 702 |
27.4% | 12.2% | 5.2% | 44.8% | |
Dispensing | 126 | 88 | 9 | 223 |
8% | 5.6% | 0.6% | 14.2% | |
Administration | 371 | 185 | 87 | 643 |
23.7% | 11.8% | 5.5% | 41% | |
Category of incident | ||||
Wrong dose | 772 | 379 | 131 | 1282 |
49.2% | 24.2% | 8.4% | 81.8% | |
Wong dose preparation | 54 | 38 | 13 | 105 |
3.4% | 2.4% | 0.8% | 6.7% | |
Wrong rate | 81 | 37 | 28 | 146 |
5.2% | 2.4% | 1.8% | 9.3% | |
Wrong quantity | 19 | 10 | 6 | 35 |
1.2% | 0.6% | 0.4% | 2.2% | |
Total | 926 | 464 | 178 | 1568 |
59.0% | 29.6% | 11.4% | 100% |