Examples of observed errors
| Preparation errors | Examples |
|---|---|
| Wrong dose | 0.5 ml amoxicillin withdrawn instead of 0.4 ml (25% difference); 0.8 ml caffeine withdrawn instead of 0.7 ml (14% difference) |
| Twice the prescribed dopamine concentration | |
| Not dissolved | Amoxicillin powder for injection incompletely dissolved before administration |
| Not mixed | Vancomycin solution not mixed after dilution before administration |
| Insulin-albumin infusion not mixed before administration | |
| Administration errors | |
| Wrong administration time | Ceftazidim administered 145 min later than prescribed |
| Caffeine administered 75 min earlier than prescribed | |
| Wrong administration rate | Intravenous bolus of flucloxacillin administered in a few seconds |
| Expired | Continuous heparin/dopamine infusion administered for 30 h (shelf-life of dilution expires after 24 h at 20°C). |
| Incompatibilitiesintravenous lines not flushed | Ceftazidim and caffeine administered through the same intravenous line without flushing between the administrations |
| Other | Meropenem administered without an in-line filter |