Preintervention (n=159) | Postintervention (n=104) | |||||
---|---|---|---|---|---|---|
Minor | Moderate | Severe | Minor | Moderate | Severe | |
Preparation errors | ||||||
Wrong medication | 0 | 0 | 0 | 0 | 0 | 0 |
Wrong dose | 0 | 7 (4%) | 1 (1%) | 3 (3%) | 9 (9%) | 0 |
Not dissolved | 0 | 2 (1%) | 0 | 0 | 1 (1%) | 0 |
Not mixed | 0 | 14 (9%) | 0 | 0 | 15 (14%) | 0 |
Other | 7 (4%) | 0 | 0 | 5 (5%) | 1 (1%) | 0 |
Administration errors | ||||||
Wrong medication | 0 | 0 | 0 | 0 | 0 | 0 |
Omission | 0 | 0 | 0 | 0 | 0 | 0 |
Wrong time | 3 (2%) | 2 (1%) | 0 | 3 (3%) | 4 (4%) | 0 |
Wrong administration rate | 57 (36%) | 49 (31%) | 0 | 13 (13%) | 20 (19%) | 0 |
Expired shelf-life | 0 | 13 (8%) | 0 | 0 | 2 (2%) | 0 |
Incompatibilities/intravenous lines not flushed | 0 | 1 (1%) | 0 | 0 | 22 (21%) | 0 |
Other | 0 | 3 (2%) | 0 | 0 | 6 (6%) | 0 |
Total | 67 (42%) | 91 (57%) | 1 (1%) | 24 (23%) | 80 (77%) | 0 |