From: 39th International Symposium on Intensive Care and Emergency Medicine
Error type | Number of errors | Cause & effect | Potential Contributory factors | Number of critical medicines involved |
---|---|---|---|---|
Prescribing errors | 11 | Wrong frequency, omissions, duplicates, unintentional | Individual, task, workload & staffing issues | 1 |
Prescribing errors | 6 | No frequency on WOC - omission/duplication of drug | Individual & task | 5 |
Administration errors | 5 | Scheduled time of dose had passed, no STAT dose | Staff training & local policies & procedures | 2 |
Administartion errors | 3 | Administration omissions | Individual & task | not applicable |
Administration errors | 1 | Use of supplemental charts, not familiar to nurse | Staff training & education | 1 |