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Table 4 Types of errors: Prescription errors: Australian hospitals 1985–2007

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

Reference

Number of prescriptions or charts audited

No. of errors detected (rate)

Major findings

Discharge prescriptions

Coombes et al. 2004 [15]

605 medications on 100 hand written prescriptions

30 (5.0% of medications)

The most common types of errors were omissions (2.6%) and dosing errors (0.8%).

Coombes et al. 2004 [15]

700 medications on 100 computer generated prescriptions

81 errors (11.6% of medications)

The most common types of errors were dosing errors (3.6%), duration errors (1.9%), medication not required on discharge (2.1%) and omissions (1.7%).

Inpatient and discharge prescriptions from medical and surgical wards assessed

Coombes et al., 2001 [49]

2978 prescriptions

71 (2.4%)errors with potential to cause an ADE

The most common error types found were wrong or ambiguous dose (1.0% of prescriptions), dose absent from prescription (0.6% of prescriptions), frequency absent from prescription (0.4% of prescriptions*)

Medication charts in a paediatric department assessed

Dawson et al., 1993 [50]

212 medication charts#

52 major errors** (24.5% of med'n charts)

The most common error types were dose errors (12.3% of charts reviewed), error of administration frequency (5.7% of charts reviewed), error of administration route (5.2% of charts reviewed), error in drug name/formulation (1.4% of charts reviewed).

Dawson et al., 1993 [50]

325 medication charts#

35 major errors** (10.8% of med'n charts)

The most common error types were dose errors (4.9% of charts reviewed), error of administration route (2.5% of charts reviewed), error of administration frequency (1.8% of charts reviewed), error in drug name/formulation (1.5% of charts reviewed).

Errors in medical, surgical, children's wards and a critical care unit assessed

Leversha, 1991 [51]

6641 medication chart checks

241 (3.6% of chart checks)

Prescribing errors detected were incorrect dose (1.2% of chart checks), no strength specified (1.0%), insufficient information (0.2%). It was also found that failure to record the patient's current (ongoing) medication on the chart occurred in 69 cases (1.0% of chart checks)

Prescriptions presenting to pharmacy department assessed

Fry et al., 1985 [52]

10 562 prescriptions

574 (5.4%),

Included assessment of legal requirements, (eg patient name and address, doctor's signature) as well as clinical requirements (eg dose, frequency,) The strength was missing or incorrect in 0.7%, the directions inappropriate or omitted in 0.4%, and the wrong drug in 0.06%.

  1. * Percentage of prescriptions for regular and 'as required" medications only; ** Major errors included errors in drug name, dose, formulation, route or frequency of administration; #Note: unit of analysis is medication chart, which may include one or more prescriptions.