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Table 2 Medication incident reports, SA, WA and NSW

From: Medication safety in acute care in Australia: where are we now? Part 1: a review of the extent and causes of medication problems 2002–2008

 

SA (pre 2002) [1]

WA 03/04 [42]

WA 04/05 [43]

WA 05/06 [44]

NSW 05/06 [45]

Number of incidents

26999

23189

21693

20799

123404

Medication incidents

7155 (26.5%)

23.5%#

24.0%#

5068 (24.4%)

17367 (14.1%)

Outcome

No injury

69%@

87.0%

85.0%

85.0%

82%*

Most common type of medication incident

Omission

27.9%

36.0%

36.0%

37.0%

 

Overdose

19.5%

18.0%

17.0%

19.0%

 

Prescription or order error

   

14.0%

 

Unclear or incomplete order

   

6.0%

 

Dispensing error

3.3%

  

2.0%

 

Most common reason cited for medication incident

Failure to read or misread

52%

49.0%

 

36.0%

 

Failure to follow policy

 

23.0%

 

26.0%

 

Medicines implicated

 

Cardiovascular; Analgesics, CNS, Endocrine, Antibiotics

Analgesics; Anticoagulants Diuretics; Respiratory; Proton Pump inhibitors

 

Analgesics; Anticoagulants; Diuretics; Steroids

Analgesics; Anticoagulants; Insulins; Diuretics

  1. @ = none or minor; # = estimated from graph; * = Severity Assessment Code (SAC) 3 or SAC 4