Error type | Pre-intervention | Post-intervention |
---|---|---|
Timing error | Sertraline prescribed for 7am but not given until 8.30am | Rifaximin prescribed for administration at 7am but not given until 9.02am |
Omission error | Aspirin prescribed but mistakenly omitted | Cinacalcet not in stock therefore knowingly omitted |
Documentation error | Patient refused memantine but recorded as administered on the system | Gabapentin administered to a patient but nurse did not register this on the system |
Wrong dose | Nurse was about to give 40 mg of furosemide but 20 mg prescribed (observer intervened)* | – |
Wrong form | Modified release metformin prescribed but standard release given | – |