Table 6.
Multivariable logistic regression model for explanatory factors of medication errors associated with causing possible or probable harm (N = 11,540)
Reference level | Comparator level | Odds ratio | 95% confidence intervals | p-value | |
---|---|---|---|---|---|
Person-related factors | |||||
Individual responsible for the medication error | Nurse or midwife | Doctor | 0.690 | 0.618–0.771 | < 0.001 |
Nurse or midwife | Pharmacist | 0.327 | 0.267–0.401 | < 0.001 | |
Nurse or midwife | Patient or family | 0.641 | 0.472–0.870 | 0.001 | |
Involvement of patient or family in identifying medication error | No | Yes | 0.924 | 0.789–1.083 | 0.331 |
Insufficient counselling of patient | No | Yes | 3.511 | 2.512–4.908 | < 0.001 |
Environment-related factors | |||||
Patient movement across transitions of care | No | Yes | 1.461 | 1.190–1.793 | 0.001 |
Interruptions | No | Yes | 1.432 | 1.012–2.027 | 0.043 |
Covering personnel | No | Yes | 1.490 | 1.113–1.995 | 0.007 |
Double and single medication checking | Single checked | Double checked | 0.905 | 0.826–0.991 | 0.032 |
Communication-related factors | |||||
Misread or unread order | No | Yes | 2.411 | 2.162–2.690 | < 0.001 |
Informal bedside conversations | No | Yes | 1.221 | 1.085–1.373 | 0.001 |
Error related to clinical handover | No | Yes | 1.559 | 1.136–2.139 | 0.006 |
Error related to prescribing processes using electronic systems | No | Yes | 0.580 | 0.478–0.705 | < 0.001 |
Error related to electronic dispensing processes | No | Yes | 0.350 | 0.199–0.618 | 0.001 |
Error related to use of electronic systems to administer the medication | No | Yes | 1.214 | 0.933–1.581 | 0.149 |