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Table 1 List of Scenarios Identified in Stage 1 and Results from Stage 3

From: Defining electronic-prescribing and infusion-related medication errors in paediatric intensive care – a Delphi study

Category 1: Electronic-prescribing (Technology Generated)
  Scenario Scores (Median, IQRa) Outcome
Rdc 1 Rd 2 Rd 3 Consensus Error
1 Alteration of a standard order from a dropdown menu resulting in incongruous supplementary instructions 7 (4) 7 (1.5) x
2 Alteration of an existing order resulting in incorrect supplementary instructions 7 (4) 7 (2) x Partial
3 Selection of an incorrect formulation (caused by failure to amend default formulation) 7 (4) 7 (4) 7 (1.8)
4 Inappropriate completion of ‘Max Dose’ field (removing autofilled dose on MARd, causing potential to administer doses outside dose/weight limits) 6 (5) 6 (4) 6 (3.8) Partial Equivocal
5 Medication (Infusion Order) not cancelled 48–72 h after written and not used e.g. Inotropes on Order Set 4 (5) 4 (2) x Partial
6 Medication (Infusion Order) not cancelled 48–72 h after infusion discontinued 4 (5) 4 (4) x Partial
7 Prescription duplication 8 (3) 8 (2) x
Category 2: SMART-PUMPS (Technology Generated)
  Scenario Scores (Median, IQRa) Outcome
Rdc 1 Rd 2 Rd 3 Consensus Error
8 Wrong patient weight programmed 9 (0) x x
9 Wrong drug programmed from drug library 9 (0) x x
10 Wrong rate programmed 9 (0) x x
11 Incorrect SCIb programmed (not equal to SCI ordered or prepared) – incorrect dose administered 9 (0) x x
12 Incorrect SCI prepared (pump programmed with SCI ordered rather than SCI prepared)-incorrect dose administered 9 (0) x x
13 Programmed as per SCI in syringe but pump assigned to incorrect electronic infusion order (resulting in incorrect auto-charting of dose administered) 9 (1) x x
Category 3: Prescribing of PICU Infusions
  Scenario Scores (Median, IQRa) Outcome
Rdc 1 Rd 2 Rd 3 Consensus Error
14 Ordering an infusion in the wrong concentration for a patient without valid clinical rationale 9 (1) x x
15 Writing an incorrect statement of rate (type A): expressing rate as X ml (rather than Xml/hour) = dose/weight/time 8 (2) x x
16 Writing an incorrect statement of rate (type B): expressing rate using incorrect unit of time e.g. ‘per min’ instead of ‘per hour’ 9 (1) x x
17 Writing an incorrect statement of rate: Combination of both type A and type B error 9 (1) x x
  1. aIQR Interquartile Range, bSCI Standard Concentration Infusion, cRd Consensus Round, dMAR Medication Administration Record