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  • Medication errors over 18 months

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    Vivekanandan Narasimman
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    This document reports on medication errors from baseline to 18 months at a healthcare organization. It shows reductions in wrong technique, wrong time, wrong dose, and wrong route errors over time. The document also provides data on high alert medications like insulin and heparin that commonly cause errors. Finally, it details the origins, types, and monitoring of high alert medication errors, with omission and improper dosing being the most frequent types of errors.

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    Book 3

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    This document reports on medication errors from baseline to 18 months at a healthcare organization. It shows reductions in wrong technique, wrong time, wrong dose, and wrong route errors over time. The document also provides data on high alert medications like insulin and heparin that commonly cause errors. Finally, it details the origins, types, and monitoring of high alert medication errors, with omission and improper dosing being the most frequent types of errors.

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    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
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    15 views3 pages

    Medication errors over 18 months

    Uploaded by

    Vivekanandan Narasimman
    This document reports on medication errors from baseline to 18 months at a healthcare organization. It shows reductions in wrong technique, wrong time, wrong dose, and wrong route errors over time. The document also provides data on high alert medications like insulin and heparin that commonly cause errors. Finally, it details the origins, types, and monitoring of high alert medication errors, with omission and improper dosing being the most frequent types of errors.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 3

    Journal of

    Quality and
    Patient
    Medication Medication Medication
    Safety Dec
    Errors
    Errors
    Errors
    2009
    Baseline
    6 months
    18 months
    Wrong Techni
    41
    25
    5
    Wrong Time
    33
    13
    16
    Wrong Dose
    5
    1
    2
    Wrong Route
    5
    1
    0
    Drug not avail
    3
    5
    4
    Wrong Form
    3
    0
    0
    Extra Dose
    1
    3
    2
    Unauthoried D
    0
    2
    1
    Omission
    0
    2
    0

    Patient Safety &


    Quality
    High Alert
    Healthcare J/A Medication
    2009
    Errors
    Insulin
    14646
    Heparin
    6835
    Warfarin
    6834
    Other
    4231
    32546

    Total
    Harm
    Harm Total

    Harm from High


    Patient Safety &
    Alert Medication
    Quality Healthcare Errors 2006J/A 2009
    2008
    %
    443,683 Insulin
    7977
    0.0461 Heparin
    5523
    20454 Warfarin
    4500
    Digoxin
    1227
    All Others
    1023
    Promethazine
    205
    20455

    Patient Safety &


    Origin of High
    Quality Healthcare Alert Medication
    J/A 2009
    Errors
    Dispensing
    9438
    Administering
    9438
    Transcribing
    8137
    Prescribing
    3906
    Monitoring
    976
    Other
    651
    32546

    39%
    27%
    22%
    6%
    5%
    1%

    29%
    29%
    25%
    12%
    3%
    2%

    Patient Safety & Quality


    Healthcare J/A 2009
    Omission
    Improper dose/quantity
    Unauthorized/wrong drug
    Prescribing error
    Wrong Time
    Extra Dose
    Wrong patient
    Mislabeling
    Wrong dosage form
    Wrong administration
    Drug prepared incorrectly
    Wrong route
    Other

    Type of High
    Alert Medication
    Error
    8461
    7124
    5463
    2923
    2300
    2256
    1786
    636
    586
    335
    311
    252
    113
    32546

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