Table 2.
Frequency and examples of the different types of medication administration errors per opportunity of errors (n = 1012).
| Error type | Description of example | Frequency | Error rate (%) |
|---|---|---|---|
| Wrong Dose | Levofloxacin 750 mg, nurse roughly threw half of drug solution bag (500mg/100 ml) into the sink. | 18 | 1.78 |
| Wrong Time | Allopurinol 300 mg was administered at 3–4 PM instead of 8 AM. | 84 | 8.3 |
| Wrong Route | Heparin was given (subcutaneous) SQ instead of IV. | 1 | 0.01 |
| The drug is not given | A lactulose enema was not given to the patient to treat constipation associated with morphine use. | 7 | 0.7 |
| Incorrect drug preparation | 247 | 24.4 | |
|
Bisoprolol 5 mg, nurse broke the tablet by his nails. | 148 | 14.6 |
|
Vancomycin diluted with NS instead of SWFI. | 30 | 2.96 |
|
Micafungin 100 mg reconstituted in 10 ml NS then diluted it in 100 ml NS. | 69 | 6.8 |
| The incorrect technique of administration | 188 | 18.6 | |
|
The prefilled syringe of Enoxaparin was administered to the patient while the injection site was not swabbed with alcohol. | 84 | 8.3 |
|
Vancomycin 1250 mg constituted with 10 ml NS (instead of 20 ml SWFI) and then diluted in 100 ml NS instead of 200 ml, rate of administration = 30 min instead of 60 min | 114 | 11.3 |
| No documentation | Pethidine given but not documented | 1 | 0.01 |
| Adherence error | Ticagrelor tablet was left on the patient's bedside while he was sleeping, and the nurse did not verify whether the medication was taken or not. | 364 | 35.97 |
| Total | 910 | 89.9 |
SWFI: sterile water for injection.