the commonwealth fund source: mccarthy and leatherman, performance snapshots, 2006. most frequently...
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THE COMMONWEALTH
FUND
Source: McCarthy and Leatherman, Performance Snapshots, 2006. www.cmwf.org/snapshots
Most Frequently Reported Types of Medication Errors: Voluntary Reporting System, 2000–2004
(Percentage of Reports with an Error Type)
5
6
7
11
21
23
24
0 10 20 30 40
Wrong patient
Extra dose
Wrong time
Unauthorized orwrong drug
Prescribingerror
I mproper doseor quantity
Omission error*
Data: Santell, J.P. et al. 2005. MedMarx Data Report. USP Center for the Advance- ment of Patient Safety. © 2005 The United States Pharmacopeial Convention, Inc. All rights reserved. *Failure to administer an ordered drug dose.
THE COMMONWEALTH
FUND
Source: McCarthy and Leatherman, Performance Snapshots, 2006. www.cmwf.org/snapshots
Types of Reported Medication Errors That Most Frequently Caused Harm: Voluntary Reporting System, 2000–2004
(Percentage That Involved Patient Harm)
1.6
1.7
1.9
1.9
2.0
2.2
6.3
0 2 4 6 8 10
Drug prepared incorrectly
Extra dose
Omission error*
Unauthorized or wrong drug
I mproper dose or quantity
Wrong administration route
Wrong administration technique
Data: Santell, J.P. et al. 2005. MedMarx Data Report. USP Center for the Advance- ment of Patient Safety. © 2005 The United States Pharmacopeial Convention, Inc. All rights reserved. *Failure to administer an ordered drug dose.
Overall, about 1.7percent of reportederrors involved patient harm.
THE COMMONWEALTH
FUND
Source: McCarthy and Leatherman, Performance Snapshots, 2006. www.cmwf.org/snapshots
Most Frequently Reported Causes of Medication Errors: Voluntary Reporting System, 2000–2004
(Percentage of Reports with a Cited Cause)
9
10
12
12
13
17
38
0 10 20 30 40
Communication
Knowledge deficit
Documentationlacking/ inaccurate
Computer entry
Transcriptioninaccurate/ omitted
Procedure/ protocolnot followed
Performancedeficit*
Data: Santell, J.P. et al. 2005. MedMarx Data Report. USP Center for the Advance-ment of Patient Safety. © 2005 The United States Pharmacopeial Convention, Inc. All rights reserved. *Failure to act in accordance with education and training.