1 |
Misreading of a doctor’s order (similar drug nomenclature) |
0.955 |
0.796 |
2 |
Preparation of a wrong drug (similar drug packaging, similar drug nomenclature) |
0.954 |
0.809 |
3 |
Preparation of a medication in a wrong dose (drug concentration highlighted on packaging vs. barely visible drug capacity) |
0.955 |
0.792 |
4 |
Frequent changes in trade drug names in a hospital, e.g., due to a new tender |
0.959 |
0.513 |
5 |
The need to replace existing medications with new ones due to shortages in the market |
0.958 |
0.56 |
6 |
Time pressure during drug preparation due to, among other things, late orders of a doctor, low staffing, waiting for a medication from a wholesaler or for an administrative decision |
0.957 |
0.653 |
7 |
Improper work organization (e.g., answering phone calls, performing other tasks “in the meantime”) |
0.957 |
0.633 |
8 |
Pharmacist’s ignorance of a list of drug substitutes |
0.954 |
0.835 |
9 |
Errors in doctor’s orders that were unnoticed by the pharmacist before preparation of the drug |
0.954 |
0.866 |
10 |
Psychophysiological fatigue |
0.956 |
0.726 |
11 |
Scarce availability of training concerning drug preparation. |
0.958 |
0.617 |
12 |
No online ordering system |
0.958 |
0.593 |
13 |
Ignorance of drug preparation procedures |
0.954 |
0.815 |
14 |
Preparation of a pharmaceutical formulationfrom an expired/withdrawn drug |
0.954 |
0.847 |
15 |
Preparation of a pharmaceutical formulation stored in improper conditions |
0.954 |
0.851 |
16 |
Preparation of a pharmaceutical formulation under inadequate conditions, such as failure to maintain aseptic conditions |
0.954 |
0.846 |
17 |
Preparation of medications ordered in hospital and concomitant patient’s self-administration of own drugs without the knowledge of medical personnel |
0.954 |
0.825 |